Stephanie L Kinsey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17251 Issued in FL

Practice address

159 Palencia Village Dr
Suite 107-109
St Augustine, FL 32095-8457

Phone

(904) 826-4343

Fax

(904) 826-4335

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 19, 2015 through Mar 19, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephanie Kinsey DDS

  • Customized Equipment (DME)
  • St Augustine, FL
  • NPI 1275193278
  NPD (past) Authorized official
• Jacksonville Dentistry PLLC

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1417541079
  NPD (past)
• Krantz Dental Care, P.a.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1922288364
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1700997376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PALENCIA VILLAGE DR",
            "address_2": "SUITE 107-109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958457",
            "telephone_number": "904-826-4343",
            "fax_number": "904-826-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PALENCIA VILLAGE DR",
            "address_2": "SUITE 107-109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958457",
            "telephone_number": "904-826-4343",
            "fax_number": "904-826-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole King
• Shannon King
• Tara Sue King, ACNP
• Eugene Kinnaly, P.A.
• Valeri Kinsella
• Amy Marie Kirchner, LMHC
• Amnath Kirdnual, MD
• Kishore Thampy, M.D.,S.C.
• Ursula Kisiel, M.D.
• Kjcares Suportive Living Services

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.