Individual provider Active NPI

Stephanie R. Arredondo-Glacet, DMD

  • General Practice Dentistry
  • Hampstead, NC
National Provider Identifier
1801454814
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13573 Issued in NC
Practice address
14057 US Highway 17 Ste 120
Hampstead, NC 28443-3771
Phone
(910) 270-9344
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 13573 NC Primary

Addresses

Primary practice location

14057 US Highway 17 Ste 120
Hampstead, NC 28443-3771

Mailing address

14057 US Highway 17 Ste 120
Hampstead, NC 28443-3771
Phone (910) 270-9344

Other names 1

  • Stephanie R. Arredondo Professional name

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
I20251211001959 NC Practitioner - Dentist 5991033995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Medical Univ of South Carolina Col of Dental Med, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1851 Macgregor Downs Rd
Greenville, NC 27834-5925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9372SCMDClinical Social Worker
13573NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Sep 21, 2025 Accepting new patients
East Carolina University CurrentSince Sep 21, 2025 Accepting new patients
East Carolina University Current Accepting new patients
Otero & Otero DDS PA PastSince Jun 29, 2025 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 4

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1801454814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14057 US HIGHWAY 17 STE 120",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433771",
            "telephone_number": "910-270-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14057 US HIGHWAY 17 STE 120",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433771",
            "telephone_number": "910-270-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO-GLACET",
        "first_name": "STEPHANIE",
        "middle_name": "R.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ARREDONDO",
            "middle_name": "R.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hampstead, NC

Sources for this page

Verify at the official NPI Registry.