Individual provider Active NPI

Stone Rangarajan Thayer, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boerne, TX
National Provider Identifier
1255416459
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
T3198 Issued in TX
Practice address
134 Menger SPGS Ste 1200
Boerne, TX 78006-7220
Phone
(830) 815-2480
NPI assigned
Oct 26, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22911 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6001097-15 WI
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X ME 114524 FL
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A137085 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X T3198 TX Primary

Addresses

Primary practice location

134 Menger SPGS Ste 1200
Boerne, TX 78006-7220

Mailing address

2103 N Reynolds Rd Unit 648
Bryant, AR 72089-8800
Phone (214) 770-1840

Other practice location 1

805 N Mayfair Rd
Wauwatosa, WI 53226-4241
Phone (414) 567-0662

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 22, 2023 through Jun 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6001097-15WIMDOral and Maxillofacial Surgery (Dentist)
A137085CAMDOral & Maxillofacial Surgery (D.M.D.)
ME 114524FLMDOral & Maxillofacial Surgery (D.M.D.)
T3198TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
San Diego Center for Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery Past Accepting new patients
Oral Surgery Assocates, P.C. Oral and Maxillofacial Surgery PastSince Nov 3, 2019 Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sthayer33496@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1255416459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 N REYNOLDS RD UNIT 648",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720898800",
            "telephone_number": "214-770-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MENGER SPGS STE 1200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067220",
            "telephone_number": "830-815-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532264241",
            "country_code": "US",
            "telephone_number": "414-567-0662",
            "fax_number": "414-249-6075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "STONE",
        "middle_name": "RANGARAJAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22911",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6001097-15",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME 114524",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A137085",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "T3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.