Active NPI
Keely Marie Stofer, DDS
- Dentist
- Nashville, TN
National Provider Identifier
1821831116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12525
- Practice address
- 2641 8TH Ave S
Nashville, TN 37204-2483 - Phone
- (615) 784-5104
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12525 | TN | Primary |
Addresses
Primary practice location
2641 8TH Ave S
Nashville, TN 37204-2483
Mailing address
805 Division St Apt 808
Nashville, TN 37203-5970
Phone (501) 701-0484
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berry Hill Dental Group, PC | Current | Accepting new patients |
Locations
2641 8th Ave S
Nashville, TN 37204
Phone (615) 784-5104
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.
-
- General Practice Dentistry
- Nashville, TN
- NPI 1053904219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1821831116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 DIVISION ST APT 808",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372035970",
"telephone_number": "501-701-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2641 8TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042483",
"telephone_number": "615-784-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOFER",
"first_name": "KEELY",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.