DRS. Stukalin, P.a.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

15826 Issued in TX

Legal business name

DRS. STUKALIN, P.A.

Practice address

5925 Forest LN Ste 318
Dallas, TX 75230-2776

Phone

(972) 490-4881

Fax

(972) 490-1270

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Stukalin, D.D.S., M.S.NPI 1841310406

Title

Owner

Phone

(972) 490-4881

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Seth Stukalin, D.D.S., M.S.

  • Periodontics
  • Dallas, TX
  • NPI 1841310406
  NPD (past) Authorized official
• Nathan E. Hodges, D.D.S., M.S., P.A.

  • Periodontics
  • Rockwall, TX
  • NPI 1730239195
  NPD (past)
• Janet Eileen Price, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1447370374
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205988441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302776",
            "telephone_number": "972-490-4881",
            "fax_number": "972-490-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302776",
            "telephone_number": "972-490-4881",
            "fax_number": "972-490-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. STUKALIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUKALIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-490-4881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "15826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Cox Chanez & Christina
• DRS Tschumy Herring Kaliser True Reardon Jones a Medical Association
• DRS. Leiman and Simon, PA
• DRS. Porter and Sone & Associates, PA
• DRS. Rothschild & Somer, Associated
• Kimberley Michelle Drum, MSN, RN, NNP-BC
• Traci Lane Drum, FNP-C
• Shermelia Drummer, LPC, LCDC
• Malashia Drummond
• Shaina Marie Drummond, M.D.

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.