Individual provider Active NPI

Brian Henry Stone, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
National Provider Identifier
1265650071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20511 Issued in TX
Practice address
700 Olympic Plaza Cir Ste 412
Tyler, TX 75701-1952
Phone
(903) 595-5186
Fax
(903) 595-5240
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20511 TX Primary

Addresses

Primary practice location

700 Olympic Plaza Cir Ste 412
Tyler, TX 75701-1952

Mailing address

700 Olympic Plaza Cir Ste 412
Tyler, TX 75701-1952
Phone (903) 595-5186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000823 TX Practitioner - Maxillofacial Surgery 0345319984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Baylor College of Dentistry/Texas a&M University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Oral Facial Surgery Group PLLCGroup PAC ID 9234382284, 3 clinicians

Practice addresses (Care Compare)

2550 Elkton TRL
Tyler, TX 75703-0594
Phone (903) 534-1414

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oral Facial Surgery Group PLLC Oral and Maxillofacial Surgery CurrentSince Dec 3, 2012 Accepting new patients
East Texas Medical Center Past Accepting new patients

Locations

1109 S Main St
Lindale, TX 75771
Phone (903) 534-1414

1721 S Sycamore St
Palestine, TX 75801
Phone (903) 723-5111

2550 Elkton Trl
Tyler, TX 75703
Phone (903) 534-1414

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265650071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 412",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011952",
            "telephone_number": "903-595-5186",
            "fax_number": "903-595-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 412",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011952",
            "telephone_number": "903-595-5186",
            "fax_number": "903-595-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "BRIAN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.