NPIMap

Organization Active NPI

William a Stellenwerf Jr DDS PC

  • Dentist
  • Kingwood, TX
National Provider Identifier
1336293158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14437 Issued in TX
Legal business name
WILLIAM A STELLENWERF JR DDS PC
Practice address
2325 Timber Shadows Dr
BLDG a
Kingwood, TX 77339
Phone
(281) 359-9100
Fax
(281) 359-0130
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William A Stellenwerf Jr., DDSNPI 1972625663
Title
President
Phone
(281) 359-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14437 TX Primary

Addresses

Primary practice location

2325 Timber Shadows Dr
BLDG a
Kingwood, TX 77339

Mailing address

2325 Timber Shadows Dr
BLDG a
Kingwood, TX 77339
Phone (281) 359-9100

Other names 1

  • William A Stellenwerf DDS & Stacy L Norman DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

2325 Timber Shadows Dr
#A
Kingwood, TX 77339
Phone (281) 359-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336293158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 TIMBER SHADOWS DR",
            "address_2": "BLDG A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-9100",
            "fax_number": "281-359-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 TIMBER SHADOWS DR",
            "address_2": "BLDG A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-9100",
            "fax_number": "281-359-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A STELLENWERF JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELLENWERF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-359-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William A Stellenwerf DDS & Stacy L Norman DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.