Organization Active NPI

Stonecreek Acquisitions, LLC

Doing business as Stonecreek Dental Care

  • Dentist
  • Warrior, AL
National Provider Identifier
1366870602
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5039 Issued in AL
Legal business name
STONECREEK ACQUISITIONS, LLC
Doing business as
Stonecreek Dental Care
Practice address
309 Louisa St
Warrior, AL 35180-1448
Phone
(205) 647-2050
NPI assigned
Oct 24, 2013
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mr. Burt Arthur
Title
Coo
Phone
(256) 452-1476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5039 AL Primary

Addresses

Primary practice location

309 Louisa St
Warrior, AL 35180-1448

Mailing address

309 Louisa St
Warrior, AL 35180-1448
Phone (205) 936-2595

Other names 1

  • Stonecreek Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stonecreek Acquisitions7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

309 Louisa St
Warrior, AL 35180
Phone (205) 647-2050

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1366870602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LOUISA ST",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801448",
            "telephone_number": "205-936-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LOUISA ST",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351801448",
            "telephone_number": "205-647-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK ACQUISITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "256-452-1476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonecreek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrior, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.