NPIMap

Organization Active NPI

Sandstone Family Dentistry, P.C.

  • Dentist
  • Potsdam, NY
National Provider Identifier
1508136755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047783-1 Issued in NY
Legal business name
SANDSTONE FAMILY DENTISTRY, P.C.
Practice address
150 Elm St
Potsdam, NY 13676-3300
Phone
(315) 265-5344
Fax
(315) 261-4799
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Stacey M Howlett, DDSNPI 1275545956
Title
Owner
Phone
(315) 265-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047783-1 NY Primary

Addresses

Primary practice location

150 Elm St
Potsdam, NY 13676-3300

Mailing address

150 Elm St
Potsdam, NY 13676-3300
Phone (315) 265-5344

Other practice location 1

1 Riverview Dr
Potsdam, NY 13676-2090
Phone (315) 265-5344

Other identifiers 1

IdentifierTypeStateIssuer
01872839MedicaidNY

National Provider Directory

National Provider Directory

Locations

150 Elm St
Potsdam, NY 13676
Phone (315) 265-5344

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508136755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763300",
            "telephone_number": "315-265-5344",
            "fax_number": "315-261-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763300",
            "telephone_number": "315-265-5344",
            "fax_number": "315-261-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverview Dr",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136762090",
            "country_code": "US",
            "telephone_number": "315-265-5344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDSTONE FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOWLETT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-265-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047783-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.