Individual provider Active NPI

Jarrett Shane Stone, DDS

  • Dentist
  • North Richland Hills, TX
National Provider Identifier
1427506724
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32393 Issued in TX
Practice address
6617 Precinct Line Rd Ste 100
North Richland Hills, TX 76182-4389
Phone
(972) 921-1615
NPI assigned
Sep 14, 2016
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32393 TX Primary

Addresses

Primary practice location

6617 Precinct Line Rd Ste 100
North Richland Hills, TX 76182-4389

Mailing address

141 NW Renfro St Ste 101
Burleson, TX 76028-4183
Phone (817) 295-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207001199 TX Order and Referring Only - DentistPractitioner - Dentist 4688954795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete DC, PLLC Dentist CurrentSince Sep 12, 2021 Accepting new patients

Locations

141 NW Renfro St
Ste 101
Burleson, TX 76028
Phone (817) 295-6141

Organizations & group practices 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1427506724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NW RENFRO ST STE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284183",
            "telephone_number": "817-295-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 PRECINCT LINE RD STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824389",
            "telephone_number": "972-921-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JARRETT",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.