Individual provider Active NPI

Stephanie Fransoso, DMD

  • Dentist
  • Kennesaw, GA
National Provider Identifier
1891148441
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014983 Issued in GA
Practice address
1610 Ridenour Blvd NW Ste 103
Kennesaw, GA 30152-4486
Phone
(678) 581-0063
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6287 AL
Dentist 122300000X DN014983 GA Primary

Addresses

Primary practice location

1610 Ridenour Blvd NW Ste 103
Kennesaw, GA 30152-4486

Mailing address

1950 Barrett Lakes Blvd NW Apt 1423
Kennesaw, GA 30144-7539
Phone (706) 627-2089

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

LicenseStateTypeSpecialty
DN014983GAMDDentist
6287ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Vaughn DDS PC Dentist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1891148441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BARRETT LAKES BLVD NW APT 1423",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447539",
            "telephone_number": "706-627-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 RIDENOUR BLVD NW STE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524486",
            "telephone_number": "678-581-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANSOSO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6287",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2017; 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.