Individual provider Active NPI

Stephanie Claire Denis, DMD

  • Dentist
  • Bradenton, FL
National Provider Identifier
1962069211
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN25248 Issued in FL
Practice address
8640 State Road 70 E Ste D
Bradenton, FL 34202-3785
Phone
(941) 462-3706
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN25248 FL Primary

Addresses

Primary practice location

8640 State Road 70 E Ste D
Bradenton, FL 34202-3785

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 300-4440

Other practice location 1

1231 N Tuttle Ave
Sarasota, FL 34237-3116
Phone (941) 366-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210809003440 FL Practitioner - Dentist 6507196946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Dentist CurrentSince Aug 3, 2021 Accepting new patients
Can Community Health Inc. CurrentSince Aug 3, 2021 Accepting new patients

Locations

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: stephanie.denis@can.eclinicaldirectplus.com

Organizations & group practices 2

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1962069211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 STATE ROAD 70 E STE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "941-462-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 N Tuttle Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342373116",
            "country_code": "US",
            "telephone_number": "941-366-0134",
            "fax_number": "866-622-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENIS",
        "first_name": "STEPHANIE",
        "middle_name": "CLAIRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.