James R. Stambaugh, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8743 Issued in KY

Practice address

1709 Ky Route 321
Suite 3
Prestonsburg, KY 41653-9097

Phone

(606) 886-8546

NPI assigned

Jun 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD (past)
• Kentucky Heart Institute Inc

  dba Cardiothoracic Surgeons of Kentucky

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ashland, KY
  • NPI 1235365537
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1023244324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PARKWAY DR",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659250",
            "telephone_number": "606-349-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321",
            "address_2": "SUITE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100105320",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Stacks, MD
• Jennifer Stacy
• Gary Stafford
• Randy Stafford, MSW, CSW
• Katherine Staggs
• Silas Stambaugh, CNSA
• Virginia Stambaugh, LPCC
• Wayne Stambaugh
• Ashton Michael Stamper, LPCC
• Christy Stamper, PERSP

• General Practice Dentistry in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.