Individual provider Active NPI

David Perrin Stapenhorst, M.D.

  • Plastic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1316110638
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M5522 Issued in TX
Practice address
4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135
Phone
(281) 980-0999
Fax
(281) 980-0444
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X M5522 TX Primary
Surgery Physician 208600000X M5522 TX

Addresses

Primary practice location

4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135

Mailing address

1111 Highway 6
Suite 174
Sugar Land, TX 77478-4914
Phone (281) 980-0999

Other identifiers 1

IdentifierTypeStateIssuer
3212631-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5522TXMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1316110638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 6",
            "address_2": "SUITE 174",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784914",
            "telephone_number": "281-980-0999",
            "fax_number": "281-980-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SWEETWATER BLVD",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793135",
            "telephone_number": "281-980-0999",
            "fax_number": "281-980-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPENHORST",
        "first_name": "DAVID",
        "middle_name": "PERRIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M5522",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M5522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3212631-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.