Individual provider Active NPI

Stephanie Fendt

  • General Practice Dentistry
  • Rehoboth Beach, DE
National Provider Identifier
1992445456
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G5-0011409 Issued in DE
Practice address
18912 John J Williams Hwy
Rehoboth Beach, DE 19971-4489
Phone
(302) 645-6671
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G5-0011409 DE Primary

Addresses

Primary practice location

18912 John J Williams Hwy
Rehoboth Beach, DE 19971-4489

Mailing address

18912 John J Williams Hwy
Rehoboth Beach, DE 19971-4489
Phone (302) 645-6671

Other names 1

  • Stephanie Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20220705000175 DE Order and Referring Only - DentistPractitioner - Dentist 1254711534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G5-0011409DEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1992445456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18912 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714489",
            "telephone_number": "302-645-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18912 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714489",
            "telephone_number": "302-645-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G5-0011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SMITH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.