Stephen Stanford, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3808-15 Issued in MS

Practice address

1811 Army Blvd
Jbsa Ft Sam Houston, TX 78234-2686

Phone

(210) 295-4156

NPI assigned

Jul 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1487039871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "210-295-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 ARMY BLVD",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342686",
            "telephone_number": "210-295-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "STEPHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3808-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyunji Song, DO
• David Anthony Soper, PH.D., HSPP
• Boontharick Sopontammarak, DO
• Francis Spaulding, M.D.
• John Squire, MD
• Frank L. Stanley, PA-C
• Heather Sterchele, DO
• Michele Lanatte Stevens, LPTA
• Kristin E Stoll, DO
• Blake Storts

• Dentist in Jbsa Ft Sam Houston, TX
• Providers in Jbsa Ft Sam Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.