Individual provider Active NPI

Dani Elizabeth Stansell, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1730347600
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8585 Issued in NC
Practice address
9400 Brier Creek Pkwy
Ste 204
Raleigh, NC 27617-6519
Phone
(919) 336-2981
Fax
(919) 249-1375
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8585 NC Primary

Addresses

Primary practice location

9400 Brier Creek Pkwy
Ste 204
Raleigh, NC 27617-6519

Mailing address

9400 Brier Creek Pkwy
Ste 204
Raleigh, NC 27617-6519
Phone (919) 336-2981

Other practice location 1

1101 Great Falls Ct Ste 102
Knightdale, NC 27545-7307
Phone (919) 415-1855

Other practice location 2

1911 Falls Valley Dr Ste 107
Raleigh, NC 27615-2496
Phone (919) 327-1770

Other identifiers 1

IdentifierTypeStateIssuer
1730347600MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611003415 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628389913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dani Stansell DDS PA General Practice CurrentSince Nov 1, 2024 Accepting new patients
Dani Stansell DDS PA 3 General Practice PastSince Mar 1, 2021 Accepting new patients

Locations

9400 Brier Creek Pkwy
Ste 204
Raleigh, NC 27617
Phone (919) 336-2981

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1730347600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIER CREEK PKWY",
            "address_2": "STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176519",
            "telephone_number": "919-336-2981",
            "fax_number": "919-249-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIER CREEK PKWY",
            "address_2": "STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176519",
            "telephone_number": "919-336-2981",
            "fax_number": "919-249-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Great Falls Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275457307",
            "country_code": "US",
            "telephone_number": "919-415-1855",
            "fax_number": "919-415-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Falls Valley Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276152496",
            "country_code": "US",
            "telephone_number": "919-327-1770",
            "fax_number": "919-249-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANSELL",
        "first_name": "DANI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730347600",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.