Individual provider Active NPI

Michael Stock, DDS

  • Dentist
  • Madison, AL
National Provider Identifier
1295301091
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-0007122-C1 Issued in AL
Practice address
7564 Highway 72 W Ste C
Madison, AL 35758-9437
Phone
(256) 690-5099
NPI assigned
Jun 2, 2021
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-0007122-C1 AL Primary
General Practice Dentistry 1223G0001X 2021019860 MO

Addresses

Primary practice location

7564 Highway 72 W Ste C
Madison, AL 35758-9437

Mailing address

7511 Reed St
Papillion, NE 68046-4815
Phone (712) 202-3260

Other practice location 1

7511 Reed St
Papillion, NE 68046-4815
Phone (712) 202-3260

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
D-0007122-C1ALMDDentist
2021019860MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stock Dental PLLC General Practice CurrentSince Jun 25, 2023 Accepting new patients

Locations

7564 Highway 72 W
Ste C
Madison, AL 35758
Phone (256) 690-5099

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1295301091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 REED ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464815",
            "telephone_number": "712-202-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7564 HIGHWAY 72 W STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589437",
            "telephone_number": "256-690-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7511 Reed St",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680464815",
            "country_code": "US",
            "telephone_number": "712-202-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0007122-C1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2021019860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.