Active NPI
Stone Rangarajan Thayer, DMD, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Boerne, TX
National Provider Identifier
1255416459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- T3198
- Practice address
- 134 Menger SPGS Ste 1200
Boerne, TX 78006-7220 - Phone
- (830) 815-2480
- NPI assigned
- Oct 26, 2006
- Last updated
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6001097-15 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
| A137085 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| ME 114524 | FL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| T3198 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Rady Children's Hospital San Diego | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Oral and Maxillofacial Surgery (Dentist)
- Dakota Dunes, SD
- NPI 1548304710
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
- NPI 1376803254
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
- Texas Hill Country Care, LLC (Home Instead)
- Texas Hill Country Home Care LLC (SYNERGY HomeCare of Boerne)
- Texas Kids Home Therapy Professional Limited Liability Company (Texas Kids Home Theray and Nursing Professional Limited Liability Comp)
- Texas Nurse Advocate PLLC (Boerne Healthcare Group PLLC)
- Texas Spine and Orthopedic Solutions
- The Carpenter's Touch Chiropractic Wellness Center, P.a.
- The Rooted Counseling Co
- Jennifer Anne Theoharis, M.D.
- Tracy Thias, RN
- Geonna Monae Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.