Organization Active NPI

Lori D Stetler M.D. PA

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1346463619
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K2329 Issued in TX
Legal business name
LORI D STETLER M.D. PA
Practice address
8201 Preston Rd Ste 350
Dallas, TX 75225-6225
Phone
(214) 631-7546
Fax
(214) 631-8546
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mrs. Lori D Stetler, M.D.
Title
PA
Phone
(214) 631-7546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X H8436 TX
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X K2329 TX Primary

Addresses

Primary practice location

8201 Preston Rd Ste 350
Dallas, TX 75225-6225

Mailing address

8201 Preston Rd Ste 350
Dallas, TX 75225-6225
Phone (214) 631-7546

Other identifiers 2

IdentifierTypeStateIssuer
8A5780OtherTXBCBS
8A5781OtherTXBCBS SINGER

National Provider Directory

National Provider Directory

Locations

8201 Preston Rd
Ste 350
Dallas, TX 75225
Phone (214) 631-7546

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1346463619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256225",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256225",
            "telephone_number": "214-631-7546",
            "fax_number": "214-631-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI D STETLER M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "STETLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "214-631-7546",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H8436",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8A5780",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SINGER",
            "identifier": "8A5781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.