Active NPI
Liveupmedical PLLC
- Family Medicine Physician
- Denton, TX
National Provider Identifier
1063911683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIVEUPMEDICAL PLLC
- Practice address
- 205 N Bonnie Brae St
Denton, TX 76201-3766 - Phone
- (940) 384-1500
- NPI assigned
- Feb 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane F Stone, MD
- Title
- Owner
- Phone
- (864) 285-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
205 N Bonnie Brae St
Denton, TX 76201-3766
Mailing address
3000 S Hulen St Ste 124-558
Ft Worth, TX 76109-1929
Phone (940) 484-0914
National Provider Directory
National Provider DirectoryLocations
3000 S Hulen St
Ste 124558
Ft Worth, TX 76109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1063911683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 S HULEN ST STE 124-558",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761091929",
"telephone_number": "940-484-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BONNIE BRAE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762013766",
"telephone_number": "940-384-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEUPMEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-09",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "SHANE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-285-7227",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.