Individual provider Active NPI

Ailean Chase Stingley

  • Dentist
  • Brandon, MS
National Provider Identifier
1174590319
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MS260691 Issued in MS
Practice address
1551 W Government St
Brandon, MS 39042
Phone
(601) 825-7280
Fax
(601) 825-8130
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MS260691 MS Primary

Addresses

Primary practice location

1551 W Government St
Brandon, MS 39042

Mailing address

PO Box 5043
Jackson, MS 39296-5043
Phone (601) 957-2343

Other practice location 1

1200 E County Line Rd
Ste 175
Ridgeland, MS 39157
Phone (601) 957-2343

Other identifiers 1

IdentifierTypeStateIssuer
00660135MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20200609001040 MS Order and Referring Only - DentistPractitioner - Dentist 9931520475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
MS260691MSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc Past Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ailean.stingley@fhcc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1174590319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5043",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392965043",
            "telephone_number": "601-957-2343",
            "fax_number": "601-957-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W GOVERNMENT ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E County Line Rd",
            "address_2": "Ste 175",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "39157",
            "country_code": "US",
            "telephone_number": "601-957-2343",
            "fax_number": "601-957-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINGLEY",
        "first_name": "AILEAN",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "MS260691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660135",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.