Individual provider Active NPI

Margaret Precious Neal-Stubblefield, DDS

  • Dentist
  • Bristow, VA
National Provider Identifier
1588760490
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410227 Issued in VA
Practice address
9070 Devlin Rd
Bristow, VA 20136-1041
Phone
(703) 268-1272
Fax
(703) 369-6121
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410227 VA Primary

Addresses

Primary practice location

9070 Devlin Rd
Bristow, VA 20136-1041

Mailing address

9070 Devlin Rd Ste 120
Bristow, VA 20136-1042
Phone (703) 268-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001878 VA Order and Referring Only - DentistPractitioner - Dentist 0446557904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410227VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret P. Neal-Stubblefield, DDS CurrentSince Jan 1, 2004 Accepting new patients

Locations

9070 Devlin Rd
Ste 120
Bristow, VA 20136
Phone (703) 368-1272

12701 Braemar Village Plz
Bristow, VA 20136
Phone (703) 368-1272

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1588760490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 DEVLIN RD STE 120",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361042",
            "telephone_number": "703-268-1272",
            "fax_number": "703-369-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 DEVLIN RD",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361041",
            "telephone_number": "703-268-1272",
            "fax_number": "703-369-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL-STUBBLEFIELD",
        "first_name": "MARGARET",
        "middle_name": "PRECIOUS",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

Verify at the official NPI Registry.