Organization Active NPI

Jon S Stancil

  • Podiatrist
  • Greenville, NC
National Provider Identifier
1184894875
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
412 Issued in NC
Legal business name
JON S STANCIL
Practice address
1432 E Fire Tower Rd
Greenville, NC 27858-4105
Phone
(252) 439-1150
Fax
(252) 439-1152
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Jon Scott Stancil, DPM
Title
Owner
Phone
(252) 439-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 412 NC Primary

Addresses

Primary practice location

1432 E Fire Tower Rd
Greenville, NC 27858-4105

Mailing address

1432 E Fire Tower Rd
Greenville, NC 27858-4105
Phone (252) 439-1150

Other identifiers 2

IdentifierTypeStateIssuer
0801AOtherNCBCBS
79-0801AMedicaidNC

National Provider Directory

National Provider Directory

Locations

1432 E Fire Tower Rd
Greenville, NC 27858
Phone (252) 439-1150

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1184894875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 E FIRE TOWER RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584105",
            "telephone_number": "252-439-1150",
            "fax_number": "252-439-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E FIRE TOWER RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584105",
            "telephone_number": "252-439-1150",
            "fax_number": "252-439-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON S STANCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "STANCIL",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-439-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0801A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79-0801A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.