Individual provider Active NPI

James Floyd Stanovich, D.M.D.

  • General Practice Dentistry
  • Biloxi, MS
National Provider Identifier
1295757599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MS 1948-81 Issued in MS
Practice address
1698 Pass Rd
Suite E
Biloxi, MS 39531-4333
Phone
(228) 374-3223
Fax
(228) 374-3223
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X MS 1948-81 MS Primary

Addresses

Primary practice location

1698 Pass Rd
Suite E
Biloxi, MS 39531-4333

Mailing address

1698 Pass Rd
Suite E
Biloxi, MS 39531-4333
Phone (228) 374-3223

Other identifiers 1

IdentifierTypeStateIssuer
MS 1948-81OtherMSDENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20150715002358 MS Order and Referring Only - DentistPractitioner - Dentist 5496068702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MS 1948-81MSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295757599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 PASS RD",
            "address_2": "SUITE E",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314333",
            "telephone_number": "228-374-3223",
            "fax_number": "228-374-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 PASS RD",
            "address_2": "SUITE E",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314333",
            "telephone_number": "228-374-3223",
            "fax_number": "228-374-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANOVICH",
        "first_name": "JAMES",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "MS  1948-81",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "MS 1948-81",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.