Phillip Ashton Stahl, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011060A Issued in IN

Practice address

6919 E 10TH St Ste A1
Indianapolis, IN 46219-4811

Phone

(317) 358-8885

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in IN

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

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.

• Affordable Dentures-Franklin, P.C.

  • Dentist
  • Franklin, IN
  • NPI 1821520842
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194979492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194811",
            "telephone_number": "317-358-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 E 10TH ST STE A1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194811",
            "telephone_number": "317-358-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Holiday Pl",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312622",
            "country_code": "US",
            "telephone_number": "812-339-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "PHILLIP",
        "middle_name": "ASHTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011060A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200977300A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Louise Staggs
• William Alan Staggs
• Kathryn Ann Stahl, NP
• Kelly Ann Stahl, MOT OTR
• Mark Alan Stahl, D.D.S
• Robin D Stahl, R.D., C.D.
• Stephanie Marie Stahl, MD
• Tasha Stahly
• Sarah Ann Stainko, NP
• Kyle Aaron Stairs, LAT, ATC

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.