Harry William Stadnyk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010702 Issued in MO

Practice address

980 Kehrs Mill Rd
Ballwin, MO 63011-2402

Phone

(636) 230-7557

Fax

(636) 394-2895

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

State licenses

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.

• Stadnyk & Drissell & Associates P.C.

  • Dentist
  • Ballwin, MO
  • NPI 1710907258
  NPD (past) Authorized official
• Helling & Drissell DDS, LLC

  • General Practice Dentistry
  • Ballwin, MO
  • NPI 1326768201
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1104834936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-230-7557",
            "fax_number": "636-394-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112402",
            "telephone_number": "636-230-7557",
            "fax_number": "636-394-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNYK",
        "first_name": "HARRY",
        "middle_name": "WILLIAM",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "D010702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Louis Concierge PT and Wellness LLC
• St. Louis Breast Center LLC
• St. Louis Center for Neurodiversity, LLC
• St. Louis Women'S Surgery Center, LLC
• Stadnyk & Drissell & Associates P.C.
• James Stanford
• Stat Medical LLC
• Mary Caroline Stein-Rosales, FNTP, HEALTH COACH
• Colleen E Steiner, RN
• Donna Louise Steiner, LCSW

• General Practice Dentistry in Ballwin, MO
• Providers in Ballwin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.