Active NPI
Scott M. Staffel, DDS
- General Practice Dentistry
- Bedford, TX
National Provider Identifier
1477558567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18197
- Practice address
- 3001 Brown TRL
Suite 103
Bedford, TX 76021-3204 - Phone
- (817) 503-9300
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18197 | TX | Primary |
Addresses
Primary practice location
3001 Brown TRL
Suite 103
Bedford, TX 76021-3204
Mailing address
3001 Brown TRL
Suite 103
Bedford, TX 76021-3204
Phone (817) 503-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D18197 | Other | TX | BLUE CROSS ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18197 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1477558567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BROWN TRL",
"address_2": "SUITE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213204",
"telephone_number": "817-503-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BROWN TRL",
"address_2": "SUITE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213204",
"telephone_number": "817-503-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFEL",
"first_name": "SCOTT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "D18197",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.