Active NPI
Danny Thomas Stills, MD
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1235230285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G530830
- Practice address
- 3632 Mount Ashland Ave
Redding, CA 96001-2240 - Phone
- (530) 243-4835
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G530830 | CA | Primary |
Addresses
Primary practice location
3632 Mount Ashland Ave
Redding, CA 96001-2240
Mailing address
3632 Mount Ashland Ave
Redding, CA 96001-2240
Phone (530) 243-4835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0049380 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G530830 | CA | MD | Family Medicine Physician |
| 53083 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191801600000",
"number": "1235230285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 MOUNT ASHLAND AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012240",
"telephone_number": "530-243-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 MOUNT ASHLAND AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012240",
"telephone_number": "530-243-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLS",
"first_name": "DANNY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G530830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0049380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.