Yvonne Demerdash Stubbs, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5263-015 Issued in WI

Practice address

15430 W National Ave
New Berlin, WI 53151-5157

Phone

(262) 797-8303

Fax

(262) 797-9846

NPI assigned

Nov 18, 2009

Last updated

Nov 18, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highland Park Family Dentistry, SC

  • Dental Clinic/Center
  • Wauwatosa, WI
  • NPI 1700131935
  NPD (past)
• New Berlin Family Dentistry LLC

  dba Fox Gentle Dentistry

  • Dentist
  • New Berlin, WI
  • NPI 1558979666
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1871821546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515157",
            "telephone_number": "262-797-8303",
            "fax_number": "262-797-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515157",
            "telephone_number": "262-797-8303",
            "fax_number": "262-797-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "YVONNE",
        "middle_name": "DEMERDASH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5263-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Vasilios Stotis, MD
• Catherine M Stout, MS, CCC-SLP
• Brandon Jack Strawn, DO
• Charles Francis Strehlow, D.D.S.
• Lauren C Strommen, DPT
• Kaitlyn Elizabeth Perry Studinski
• Sunnyslope Dental Care 1 LLP
• Kimberly Surfus, MS, CCC-SLP
• Grace Catherine Sutton
• Lauren Sweet

• General Practice Dentistry in New Berlin, WI
• Providers in New Berlin, 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 Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.