Stanton F Waggoner DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15377 Issued in TX

Legal business name

STANTON F WAGGONER DDS PC

Practice address

13499 Wetmore Road
San Antonio, TX 78247

Phone

(210) 490-7772

Fax

(210) 490-8927

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Stanton F Waggoner, DDSNPI 1457779936

Title

President

Phone

(210) 490-7772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stanton Waggoner

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1457779936
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1225128143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13499 WETMORE ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "210-490-7772",
            "fax_number": "210-490-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13499 WETMORE ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78247",
            "telephone_number": "210-490-7772",
            "fax_number": "210-490-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON F WAGGONER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-490-7772",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Dee Stanley, PA-C
• Russell Stanley, DPM
• Ryan Tom Stanley, AUD
• Diana Lynn Stansbury-Bartolomeo, CRNP
• Nicholas M. Stansbury, MD
• Judith Marie Stanton, LPC-S
• Kay Joyce Stanton, M.S. CCC-SLP
• Kent Stanton
• Talice Stanton, RN
• Tayler Daniele Stanton, OTR

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.