Individual provider Active NPI

Stanley Ames Lacroix, DDS

  • Dentist
  • West Lake Hills, TX
National Provider Identifier
1396898151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11721 Issued in TX
Practice address
4201 Bee Cave Rd
Suite B-104
West Lake Hills, TX 78746-6465
Phone
(512) 327-5210
Fax
(512) 327-5006
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11721 TX Primary

Addresses

Primary practice location

4201 Bee Cave Rd
Suite B-104
West Lake Hills, TX 78746-6465

Mailing address

4201 Bee Cave Rd
Suite B-104
West Lake Hills, TX 78746-6465
Phone (512) 327-5210

Other identifiers 1

IdentifierTypeStateIssuer
00JF78OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11721TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396898151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE B-104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-327-5210",
            "fax_number": "512-327-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVE RD",
            "address_2": "SUITE B-104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "512-327-5210",
            "fax_number": "512-327-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "STANLEY",
        "middle_name": "AMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JF78",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.