STH, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23083 Issued in TX

Legal business name

STH, PLLC

Doing business as

Brushy Creek Dentistry

Practice address

15534 Ranch Road 620 N
Ste 300
Austin, TX 78717-5276

Phone

(512) 580-9200

Fax

(512) 580-9201

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Shirley T Hamamcy, D.M.D.

Title

Owner

Phone

(512) 580-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brushy Creek Dentistry Doing business as

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1356707061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15534 RANCH ROAD 620 N",
            "address_2": "STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175276",
            "telephone_number": "512-580-9200",
            "fax_number": "512-580-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15534 RANCH ROAD 620 N",
            "address_2": "STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175276",
            "telephone_number": "512-580-9200",
            "fax_number": "512-580-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "HAMAMCY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-580-9200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184551318",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brushy Creek Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Stewart
• Paige Stewart
• Robert B Stewart, PHARM.D.
• Tara Marie Stewart, PA-C
• Thomas Derin Stewart
• Kayla Brooke Stibley, MS, RDN, LD
• Erin Jessica Stibral, P.A.- C
• Jimmy L Stickles, MD
• Wendy M. Stickley, SLP
• Brooke Marie Stidham, PAC

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.