Individual provider Active NPI

Christy Lynn Stasney, D.D.S.

  • Dentist
  • Slidell, LA
National Provider Identifier
1073992392
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6556 Issued in LA
Practice address
240 Erlanger St
Slidell, LA 70458-3426
Phone
(985) 643-4553
Fax
(985) 645-0746
NPI assigned
May 19, 2015
Last updated
May 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6556 LA Primary

Addresses

Primary practice location

240 Erlanger St
Slidell, LA 70458-3426

Mailing address

240 Erlanger St
Slidell, LA 70458-3426
Phone (985) 643-4553

Other names 1

  • Dr. Christy Stasney Forsyth Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6556LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Slidell Family Dental Care, LLC PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1073992392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ERLANGER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583426",
            "telephone_number": "985-643-4553",
            "fax_number": "985-645-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ERLANGER ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583426",
            "telephone_number": "985-643-4553",
            "fax_number": "985-645-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASNEY",
        "first_name": "CHRISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "FORSYTH",
            "middle_name": "STASNEY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.