Organization Active NPI

Stacie a Arbor DDS PLLC

  • Dentist
  • Memphis, TN
National Provider Identifier
1396838496
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS5166 Issued in TN
Legal business name
STACIE A ARBOR DDS PLLC
Practice address
1451 Union Ave
Suite 130
Memphis, TN 38104-6750
Phone
(901) 272-1065
Fax
(901) 272-7848
NPI assigned
Oct 2, 2006
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Stacie A Arbor, DDSNPI 1881032639
Title
Dentist
Phone
(901) 272-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS5166 TN Primary

Addresses

Primary practice location

1451 Union Ave
Suite 130
Memphis, TN 38104-6750

Mailing address

1451 Union Ave
Suite 130
Memphis, TN 38104-6750
Phone (901) 272-1065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1396838496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 UNION AVE",
            "address_2": "SUITE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046750",
            "telephone_number": "901-272-1065",
            "fax_number": "901-272-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 UNION AVE",
            "address_2": "SUITE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046750",
            "telephone_number": "901-272-1065",
            "fax_number": "901-272-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACIE A ARBOR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "ARBOR",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-272-1065",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS5166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.