NPIMap

Organization Active NPI

Stonecreek Acquisitions, LLC

Doing business as Stonecreek Dental Care

  • General Practice Dentistry
  • Montgomery, AL
National Provider Identifier
1225188758
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3764 Issued in AL
Legal business name
STONECREEK ACQUISITIONS, LLC
Doing business as
Stonecreek Dental Care
Practice address
2415 Central Pkwy
Montgomery, AL 36106-3140
Phone
(334) 277-2424
Fax
(334) 279-5151
NPI assigned
Jan 10, 2007
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Ronald Beasley, D.M.D.
Title
Owner
Phone
(334) 277-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3764 AL Primary

Addresses

Primary practice location

2415 Central Pkwy
Montgomery, AL 36106-3140

Mailing address

2415 Central Pkwy
Montgomery, AL 36106-3140
Phone (334) 277-2424

Other names 1

  • Stonecreek Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stonecreek Acquisitions7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2415 Central Pkwy
Montgomery, AL 36106
Phone (334) 239-7059

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1225188758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 CENTRAL PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063140",
            "telephone_number": "334-277-2424",
            "fax_number": "334-279-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 CENTRAL PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063140",
            "telephone_number": "334-277-2424",
            "fax_number": "334-279-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK ACQUISITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-277-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonecreek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.