Stacy Ponder, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

27400 Issued in TX

Practice address

508 W McDermott Dr
Suite 130
Allen, TX 75013-2777

Phone

(972) 908-3399

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Navarro Orthodontix, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Allen, TX
  • NPI 1710172812
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1548540602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 LANDON LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134933",
            "telephone_number": "601-408-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W MCDERMOTT DR",
            "address_2": "SUITE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132777",
            "telephone_number": "972-908-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatric Medical Partners of Texas, PA (Victor a. Schechter, DPM)
• Jordan Polocek
• Crystal Ponce
• Mallory Sylvia Ponce
• Laura Ponder, OTR/L
• Geralyn Jernelle Pool, MA, LPC
• Oluwole Popoola, MD, MPH
• Taiye Oluyomi Popoola, MD PHD
• Jennifer Jo Porter, M.A.,LPC
• Brittney Portnoy, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Allen, TX
• Providers in Allen, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.