Fallon L Stiens, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2013016353 Issued in MO

Practice address

3524 US Highway 169
Stanberry, MO 64489-8210

Phone

(660) 783-2205

Fax

(660) 783-9021

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fallon L Stiens DDS Family Dental LLC

  • General Practice Dentistry
  • Stanberry, MO
  • NPI 1053100503
  NPD Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1336580786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "address_2": "3524 US HWY 169",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644890203",
            "telephone_number": "660-783-2205",
            "fax_number": "660-783-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 US HIGHWAY 169",
            "city": "STANBERRY",
            "state": "MO",
            "postal_code": "644898210",
            "telephone_number": "660-783-2205",
            "fax_number": "660-783-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIENS",
        "first_name": "FALLON",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2013016353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine View Manor, Inc.
• Pine View Manor, Inc.
• Spec Shoppe II
• Stanberry Independent Living
• Stanberry R-II School
• TLC Care Center, Inc
• Kylee Townsend
• Tri- County Health Department
• Tri-County Health Department
• Diane Alice Wilson, RPT

• Dentist in Stanberry, MO
• Providers in Stanberry, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.