Stanley Chacko John, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38631 Issued in TX

Practice address

1109 Northwest Hwy
Garland, TX 75041-5833

Phone

(214) 227-4863

NPI assigned

Jun 8, 2022

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Comfort Dental - Meadowbrook, PLLC

  • Dentist
  • Garland, TX
  • NPI 1023243938

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1497484133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 GRANBURY DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507818",
            "telephone_number": "214-549-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415833",
            "telephone_number": "214-227-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "STANLEY",
        "middle_name": "CHACKO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Etchu Dynasty Homecare Services
• John V. Lam DDS, PLLC
• Mini John
• Renji John
• Sheeba John
• Lizy Jimmy Johns, DNP, RN, FNP-BC
• Michelle L Johns
• Ashley Johnson, LPC ASSOCIATE, LCDC
• Chloe Johnson
• Elaine Faye Johnson, L.P.C.

• General Practice Dentistry in Garland, TX
• Providers in Garland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.