NPIMap

Organization Active NPI

James H Stanford DDS PC

  • General Practice Dentistry
  • Ballwin, MO
National Provider Identifier
1114020385
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014346 Issued in MO
Legal business name
JAMES H STANFORD DDS PC
Practice address
663 Big Bend Rd
Ballwin, MO 63021-7723
Phone
(636) 256-3559
Fax
(636) 256-9879
NPI assigned
Sep 6, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. James H Stanford, DDS PCNPI 1407241821
Title
Dentist
Phone
(636) 256-3559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014346 MO Primary

Addresses

Primary practice location

663 Big Bend Rd
Ballwin, MO 63021-7723

Mailing address

PO Box 137
Ballwin, MO 63022-0137
Phone (636) 256-3559

National Provider Directory

National Provider Directory

Locations

663 Big Bend Rd
Manchester, MO 63021
Phone (636) 256-3559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1114020385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630220137",
            "telephone_number": "636-256-3559",
            "fax_number": "636-256-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-256-3559",
            "fax_number": "636-256-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H STANFORD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "636-256-3559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.