Organization Active NPI

Liveupmedical PLLC

  • Family Medicine Physician
  • Denton, TX
National Provider Identifier
1063911683
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Apr 26, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.