Active NPI
Stefan Campbell Ionescu
- Dentist
- Boerne, TX
National Provider Identifier
1326368846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25394
- Practice address
- 415 S School St
Boerne, TX 78006-2519 - Phone
- (830) 249-9888
- NPI assigned
- Jun 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25394 | TX | Primary |
Addresses
Primary practice location
415 S School St
Boerne, TX 78006-2519
Mailing address
8428 Bandera Rd
San Antonio, TX 78250-2513
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25394 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1326368846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8428 BANDERA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782502513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S SCHOOL ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062519",
"telephone_number": "830-249-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IONESCU",
"first_name": "STEFAN",
"middle_name": "CAMPBELL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-07",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
- Innovative Clinical Solutions
- Integro Eye PLLC (Innovista Eye)
- Interactive Counseling & Consulting Services Inc
- Alex Ionescu, DDS
- Florin Ionescu, D.D.S.
- Santana Ireland, PMHNP
- Ishine Pediatric Therapy Clinic
- J Tim Rainey, II, D.D.S., P.C. (Lifetime Dental)
- Iliana Jackson, FNP
- Julia Christine Jackson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.