Active NPI
Benjamin Stogsdill, D.D.S
- Dentist
- Pipe Creek, TX
National Provider Identifier
1427597608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180514000136 | NM | Order and Referring Only - Dentist | 6901160217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32654 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Pipe Creek, TX
- NPI 1275825531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.