Brandon Cayle Stanley, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10924 Issued in TN

Practice address

1350 Mackey Branch Dr Ste 110
Chattanooga, TN 37421-3483

Phone

(423) 296-8210

NPI assigned

Oct 13, 2010

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stanley Oral and Maxillofacial Surgery, PLLC

  dba Elevate Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hixson, TN
  • NPI 1346193976
  NPD Authorized official
• Childress & Meyer, PLLC

  dba East Brainerd Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1851691281
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1386954295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 PEPPERRELL ST",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782365345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DR STE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213483",
            "telephone_number": "423-296-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Pepperrell St",
            "address_purpose": "LOCATION",
            "city": "Lackland A F B",
            "state": "TX",
            "postal_code": "782365345",
            "country_code": "US",
            "telephone_number": "210-292-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BRANDON",
        "middle_name": "CAYLE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5802C1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33799",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "10924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Powell Stanford, OTR/L
• Julianna Stanford, DMD
• Todd E Stanford, PA-C
• Ellyn Nicole Stangarone, MSW
• Tomas E. Stangel, D.C., DACNB, FACFN
• John Daniel Stanley, M.D.
• Morgan Leigh Stanley
• Peter Joseph Stanley, DDS
• Rebekah Stansberry, NP-C
• Lee B. Stapleton, MD

• Oral and Maxillofacial Surgery (Dentist) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.