Individual provider Active NPI

Richard Allen Stanley, D.M.D.

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1265831119
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10983 Issued in FL
Practice address
5899 Whitfield Ave
#105
Sarasota, FL 34243-6152
Phone
(941) 351-4468
Fax
(941) 351-9361
NPI assigned
Aug 16, 2014
Last updated
Aug 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10983 FL Primary

Addresses

Primary practice location

5899 Whitfield Ave
#105
Sarasota, FL 34243-6152

Mailing address

5899 Whitfield Ave
#105
Sarasota, FL 34243-6152
Phone (941) 351-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117000465 FL Order and Referring Only - DentistPractitioner - Dentist 3870803687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Centre PA General Practice PastSince Sep 27, 1999 Accepting new patients

Organizations & group practices 1

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": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1265831119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 WHITFIELD AVE",
            "address_2": "#105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342436152",
            "telephone_number": "941-351-4468",
            "fax_number": "941-351-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 WHITFIELD AVE",
            "address_2": "#105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342436152",
            "telephone_number": "941-351-4468",
            "fax_number": "941-351-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.