Active NPI
Carrilynn Mae Stafford
- Dental Hygienist
- Binghamton, NY
National Provider Identifier
1861523615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0233051
- Practice address
- 305 Main St
Binghamton, NY 13905-2524 - Phone
- (607) 334-5366
- Fax
- (607) 336-1219
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 0233051 | NY | Primary |
Addresses
Primary practice location
305 Main St
Binghamton, NY 13905-2524
Mailing address
PO Box 816
Whitney Point, NY 13862-0816
Phone (607) 745-4984
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0233051 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861523615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 816",
"city": "WHITNEY POINT",
"state": "NY",
"postal_code": "138620816",
"telephone_number": "607-745-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MAIN ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052524",
"telephone_number": "607-334-5366",
"fax_number": "607-336-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "CARRILYNN",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "0233051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.