Stacey D. Alston, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STACEY D. ALSTON, DDS, PA

Doing business as

Genesis Family Dentistry

Practice address

1020 E. 10TH St.
Suite 1
Charlotte, NC 28204

Phone

(704) 594-5442

NPI assigned

Dec 11, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Alston, DDS

Title

Dentist/Owner

Phone

(704) 594-5442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1255802674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E. 10TH ST.",
            "address_2": "SUITE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E. 10TH ST.",
            "address_2": "SUITE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-594-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY D. ALSTON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "704-594-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF DENTAL EXAMINERS",
            "identifier": "6497",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary St. John, MMS, PA-C
• Gregory St. Martin, MA, NCC
• St. Mary's Home Care Services, Inc
• St. Mary's Home Care Services, Inc.
• St. Michael's Residential & Community Services, Inc.
• Anne Carter Stack, LCSW
• Phillip Stack, ATC
• Robert Kevin Stack, M.D.
• Daniel Jay Stackhouse, M.D.
• Latonya Stackhouse

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.