Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kenneth Joseph Stavisky, DMD
Dentist in South Burlington, VT · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1962512038
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Registry record
Entity type Individual (Type 1)
Name Dr. Kenneth Joseph Stavisky
Credential DMD
Sex Female
Practice address 99 Swift St, Suite 115, South Burlington, VT, 05403
Phone (802) 865-1212
Fax (802) 865-4666
Enumeration date Aug 30, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees.
About the DMD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867774 | Other | - | TRICARE UNITED CONCORDIA |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Kenneth Stavisky?
Kenneth Stavisky is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.