Individual provider Active NPI

Benjamin Stogsdill, D.D.S

  • Dentist
  • Pipe Creek, TX
National Provider Identifier
1427597608
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32654 Issued in TX
Practice address
9782 Hwy. 16 South
Pipe Creek, TX 78063
Phone
(830) 535-6200
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32654 TX Primary

Addresses

Primary practice location

9782 Hwy. 16 South
Pipe Creek, TX 78063

Mailing address

PO Box 63372
Pipe Creek, TX 78063-3372
Phone (830) 535-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180514000136 NM Order and Referring Only - DentistPractitioner - Dentist 6901160217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32654TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pipe Creek Dental Center Inc. Dentist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1427597608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63372",
            "city": "PIPE CREEK",
            "state": "TX",
            "postal_code": "780633372",
            "telephone_number": "830-535-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9782 HWY. 16 SOUTH",
            "city": "PIPE CREEK",
            "state": "TX",
            "postal_code": "78063",
            "telephone_number": "830-535-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOGSDILL",
        "first_name": "BENJAMIN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipe Creek, TX

Sources for this page

Verify at the official NPI Registry.