Individual provider Active NPI

Lisa Onufrak Stoner, DDS,MS, PA

  • Prosthodontics
  • Durham, NC
National Provider Identifier
1932267440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
6778 Issued in NC
Practice address
811 9TH St
Suite 280
Durham, NC 27705-4149
Phone
(919) 286-9090
Fax
(919) 286-1822
NPI assigned
Dec 5, 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
Prosthodontics 1223P0700X 6778 NC Primary

Addresses

Primary practice location

811 9TH St
Suite 280
Durham, NC 27705-4149

Mailing address

811 9TH St
Suite 280
Durham, NC 27705-4149
Phone (919) 286-9090

Other identifiers 1

IdentifierTypeStateIssuer
89902VKMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151217002022 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911208889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
6778NCMDPsychologist

Interoperability endpoints

  • Direct secure messaging: lstoner585173@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932267440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 9TH ST",
            "address_2": "SUITE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054149",
            "telephone_number": "919-286-9090",
            "fax_number": "919-286-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 9TH ST",
            "address_2": "SUITE 280",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054149",
            "telephone_number": "919-286-9090",
            "fax_number": "919-286-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER",
        "first_name": "LISA",
        "middle_name": "ONUFRAK",
        "name_prefix": "Dr.",
        "credential": "DDS,MS, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "6778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902VK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.