Individual provider Active NPI

Phachara Stancu, DMD

  • General Practice Dentistry
  • Rockledge, PA
National Provider Identifier
1407548803
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044564 Issued in PA
Practice address
406A Huntingdon Pike
Rockledge, PA 19046-4472
Phone
(215) 663-1610
NPI assigned
May 23, 2023
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02971601 NJ
Dentist 122300000X DS044564 PA
Dentist 122300000X 22DI02971600 NJ
General Practice Dentistry 1223G0001X DS044564 PA Primary
General Practice Dentistry 1223G0001X 22DI02971600 NJ

Addresses

Primary practice location

406A Huntingdon Pike
Rockledge, PA 19046-4472

Mailing address

29 Hanover Rd
Marlton, NJ 08053-1905

Other practice location 1

402 S White Horse Pike
Magnolia, NJ 08049-1061
Phone (856) 566-9700

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
22DI02971601NJMDDentist
22DI02971600NJMDGeneral Practice Dentistry
DS044564PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Dental Associates LLC General Practice PastSince May 1, 2023 Accepting new patients
Brilliant Smiles Dental Group - Magnolia LLC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1407548803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HANOVER RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406A HUNTINGDON PIKE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464472",
            "telephone_number": "215-663-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "NJ",
            "postal_code": "080491061",
            "country_code": "US",
            "telephone_number": "856-566-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANCU",
        "first_name": "PHACHARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02971601",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044564",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02971600",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044564",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02971600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.