Individual provider Active NPI

Stefanie Faye Voltz, MDT

  • Advanced Practice Dental Therapist
  • Rochester, MN
National Provider Identifier
1770072167
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
DT102 Issued in MN
Practice address
973 Skyline Dr SW
Rochester, MN 55902-1220
Phone
(507) 424-1040
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Therapist 125J00000X DT102 MN
Advanced Practice Dental Therapist 125K00000X DT102 MN Primary

Addresses

Primary practice location

973 Skyline Dr SW
Rochester, MN 55902-1220

Mailing address

6452 Fairway Dr NW
Rochester, MN 55901-5943
Phone (608) 393-9593

Other names 1

  • Stefanie Faye Voltz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DT102MNMDAdvanced Practice Dental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Dental Past Accepting new patients

Organizations & group practices 1

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1770072167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 FAIRWAY DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015943",
            "telephone_number": "608-393-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 SKYLINE DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021220",
            "telephone_number": "507-424-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLTZ",
        "first_name": "STEFANIE",
        "middle_name": "FAYE",
        "credential": "MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT102",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "MN",
            "license": "DT102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "VOLTZ",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.