Anesa Stackhouse, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10225 Issued in SC

Practice address

4760 Hard Scrabble Rd Ste 102
Columbia, SC 29229-8630

Phone

(803) 462-4554

NPI assigned

May 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: anesa.stackhouse.p1@direct.scdc.nextgenshare.com

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1245978667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BOAT CLUB LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737237",
            "telephone_number": "864-399-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 HARD SCRABBLE RD STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298630",
            "telephone_number": "803-462-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKHOUSE",
        "first_name": "ANESA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Chris Home Care LLC
• Mary Ann St John, MA, LPC
• St. Christophers Home Care Agency, LLC.
• James R Stachowiak, P.A.
• Erika Sharmane Stack-McDougal, PMHNP-BC
• Jason John Stacy, M.D.
• London Stacy
• Sandra R Stader, PHD
• Staffmark Investments LLC
• Sarah Frances Stafford, APN

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.