NPIMap

Organization Active NPI

R M Stager DMD & J R Coole DMD Stager & Coole Dentistry

Doing business as Stager & Coole Dental

  • Dentist
  • Mansfield, PA
National Provider Identifier
1598822074
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020654L Issued in PA
Legal business name
R M STAGER DMD & J R COOLE DMD STAGER & COOLE DENTISTRY
Doing business as
Stager & Coole Dental
Practice address
17 North Main Street
Mansfield, PA 16933
Phone
(570) 662-2886
Fax
(570) 513-0585
NPI assigned
Jan 3, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Roger Mark Stager, DMDNPI 1417193707
Title
Dentist Partner
Phone
(570) 662-2886

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020654L PA Primary
Dentist 122300000X DS030574L PA

Addresses

Primary practice location

17 North Main Street
Mansfield, PA 16933

Mailing address

17 North Main Street
Mansfield, PA 16933
Phone (570) 662-2886

Other names 1

  • Stager & Coole Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1598822074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NORTH MAIN STREET",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "16933",
            "telephone_number": "570-662-2886",
            "fax_number": "570-513-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NORTH MAIN STREET",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "16933",
            "telephone_number": "570-662-2886",
            "fax_number": "570-513-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R M STAGER DMD & J R COOLE DMD STAGER & COOLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "STAGER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "570-662-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020654L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030574L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stager & Coole Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.