Stacie J. Test, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16227 Issued in TX

Practice address

400 Bolivar Street #302
Box 183
Sanger, TX 76266

Phone

(940) 458-4747

Fax

(940) 458-4077

NPI assigned

Jan 29, 2007

Sex

Female

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

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 BOSQUE CT",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283126",
            "telephone_number": "940-458-4747",
            "fax_number": "940-458-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOLIVAR STREET #302",
            "address_2": "BOX 183",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "76266",
            "telephone_number": "940-458-4747",
            "fax_number": "940-458-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEST",
        "first_name": "STACIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Parent Advocacy Group a NJ Nonprofit Corporation
• Karrie Lea Stevenson, RN, IBCLC
• Mariangela Zo Stewart
• Nicholas Stratso, D.C.
• Sydney Taylor
• Texas Blue Bonnet Durable Medical Equipment Conpany Inc.
• Texas Bluebonnet Pharmacy
• Kody Joe Truebenbach, DPT
• Laura Jane Tunnicliff
• Ashley Ann Turner, RN, BSN

• General Practice Dentistry in Sanger, TX
• Providers in Sanger, 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 Jul 8, 2007; 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.