Individual provider Active NPI

Joy D. Stovcik, D.D.S.

  • General Practice Dentistry
  • Thornville, OH
National Provider Identifier
1851359715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14525 Issued in OH
Practice address
30 South Main St.
Thornville, OH 43076-0265
Phone
(740) 246-5286
Fax
(740) 246-5309
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 14525 OH Primary

Addresses

Primary practice location

30 South Main St.
Thornville, OH 43076-0265

Mailing address

30 South Main Street
P.O. Box 265
Thornville, OH 43076-0265
Phone (740) 246-5286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160413002201 OH Order and Referring Only - DentistPractitioner - Dentist 9436457157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14525OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851359715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 265",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430760265",
            "telephone_number": "740-246-5286",
            "fax_number": "740-246-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SOUTH MAIN ST.",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430760265",
            "telephone_number": "740-246-5286",
            "fax_number": "740-246-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVCIK",
        "first_name": "JOY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

Verify at the official NPI Registry.