Patricia a. Stainback, D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6637 Issued in NC

Legal business name

PATRICIA A. STAINBACK, D.M.D., P.A.

Practice address

798 Church St N
Concord, NC 28025-4368

Phone

(704) 720-0692

Fax

(704) 720-0693

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Horace Stainback Jr.

Title

Secretary/Treasurer

Phone

(704) 720-0692

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthy Smiles Family Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Adeleke Stainback, D.M.D.

  • General Practice Dentistry
  • Concord, NC
  • NPI 1124248786
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1083834840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254368",
            "telephone_number": "704-720-0692",
            "fax_number": "704-720-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254368",
            "telephone_number": "704-720-0692",
            "fax_number": "704-720-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A. STAINBACK, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "STAINBACK",
        "authorized_official_first_name": "HORACE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "704-720-0692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899001V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Paterno
• Steven Paterno, MD
• Pathways NC Inc.
• Ajay Arun Patil, DO
• Kerry E Patmore
• Patricia London DDS
• Janice Kaye Patten, PHARMD
• Bryan Thomas Patterson, PHD
• Emily Frances Patterson, PA-C
• Kirby Elwood Patterson, ATC

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.