Individual provider Active NPI

Mark Leroy Stankewitz, DDS

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1285715722
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
13951 Issued in TX
Practice address
915 Gessner Rd
Suite 515
Houston, TX 77024-2527
Phone
(713) 464-6335
Fax
(713) 464-5589
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 13951 TX Primary

Addresses

Primary practice location

915 Gessner Rd
Suite 515
Houston, TX 77024-2527

Mailing address

915 Gessner Rd
Suite 515
Houston, TX 77024-2527
Phone (713) 464-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13951TXMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1285715722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-464-6335",
            "fax_number": "713-464-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD",
            "address_2": "SUITE 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242527",
            "telephone_number": "713-464-6335",
            "fax_number": "713-464-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEWITZ",
        "first_name": "MARK",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "13951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.