Craig Eugene Stannebein, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1895 Issued in MT

Practice address

2132 Broadwater Ave Ste C
Billings, MT 59102-4778

Phone

(406) 652-8782

Fax

(406) 652-8724

NPI assigned

Mar 3, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in MT

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

State licenses

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.

• Yellowstone City-County Health Dept

  • Federally Qualified Health Center (FQHC)
  • Billings, MT
  • NPI 1841219698
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205965662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 BROADWATER AVE STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024778",
            "telephone_number": "406-652-8782",
            "fax_number": "406-652-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 BROADWATER AVE STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024778",
            "telephone_number": "406-652-8782",
            "fax_number": "406-652-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANNEBEIN",
        "first_name": "CRAIG",
        "middle_name": "EUGENE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12-1160",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "55-11145",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay N. Stanley, D.C.
• Matthew Stanley, DC
• Merrill Stanley, MD
• Michael Domenic Stanley, DC
• Nathan Brian Stanley, DDS
• Dale C Stapler Jr., M.D.
• Brandie Nicole Staples
• Malorie R Staples
• Star Gazing Counseling, LLC
• Karissa Starcher, MSN, APRN, PMHNP

• General Practice Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.