Natalie Jo Stafford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001817 Issued in WI

Practice address

10155 Washington Ave
Sturtevant, WI 53177-1645

Phone

(262) 844-3011

NPI assigned

May 10, 2018

Last updated

Mar 3, 2020By the provider in NPPES

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1811487234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 W WOODLAND CIR",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301075",
            "telephone_number": "414-732-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 WASHINGTON AVE",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531771645",
            "telephone_number": "262-844-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "NATALIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Rodriguez, MS, RDN, LD, DIPACLM
• Juliana Sardenberg-Melcher, DMD, MS
• Jennifer L Scheels, RN, BSN
• Sean P Sheerin, PTA
• Amrinder Singh, M.D.
• Jordan Jon Stensgard, MSN, APNP, FNP-C
• Twenty Twenty Family Vision Inc.
• Chinyere Uchegbu, LPN
• Village of Sturtevant
• Davona R Vinson

• General Practice Dentistry in Sturtevant, WI
• Providers in Sturtevant, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.