Austin Richard Stiles, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-0007053-C1 Issued in AL

Practice address

2542 Enterprise Dr
Opelika, AL 36801-6860

Phone

(334) 510-3990

Fax

(334) 510-3991

NPI assigned

Jun 10, 2022

Last updated

Oct 11, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stiles Dental Group LLC

  • General Practice Dentistry
  • Opelika, AL
  • NPI 1942937180
  NPD Authorized official
• Tooth Buds at Lagoon Park, LLC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1114392107
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1184354466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 ENTERPRISE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016860",
            "telephone_number": "334-510-3990",
            "fax_number": "334-510-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 ENTERPRISE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016860",
            "telephone_number": "334-510-3990",
            "fax_number": "334-510-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "553 N Eastern Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361172213",
            "country_code": "US",
            "telephone_number": "334-801-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "AUSTIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D-0007053-C1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285948",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Jaymes Stermer
• Steve Shiver DMD PC
• John Alvin Stewart, M.D.
• Lane Stewart
• Stiles Dental Group LLC
• Warren A Stiles, M.D.
• John Stinson, CRNA
• Thomas Jefferson Stokes Jr., MD
• Meredith Street, PHARMD
• Frances A Stuckwisch, NP

• General Practice Dentistry in Opelika, AL
• Providers in Opelika, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.