Active NPI
Stephenville Family Dentistry
- General Practice Dentistry
- Stephenville, TX
National Provider Identifier
1619525565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- STEPHENVILLE FAMILY DENTISTRY
- Practice address
- 140 S Harbin Dr
Stephenville, TX 76401-3937 - Phone
- (254) 968-7980
- NPI assigned
- Sep 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Eddy
- Title
- Credentialing Manager
- Phone
- (713) 869-4535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
140 S Harbin Dr
Stephenville, TX 76401-3937
Mailing address
140 S Harbin Dr
Stephenville, TX 76401-3937
Phone (254) 968-7980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billing@memorialparkdental.com | Direct |
National Provider Directory
National Provider DirectoryLocations
140 S Harbin Dr
Stephenville, TX 76401
Phone (254) 968-7980
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Stephenville, TX
- NPI 1487656732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567468800000",
"number": "1619525565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S HARBIN DR",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013937",
"telephone_number": "254-968-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S HARBIN DR",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764013937",
"telephone_number": "254-968-7980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHENVILLE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A",
"authorized_official_last_name": "EDDY",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "713-869-4535"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billing@memorialparkdental.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "140 S Harbin Dr",
"city": "Stephenville",
"state": "TX",
"country_code": "US",
"postal_code": "764013937",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stephenville, TX
- Stephens Memorial Hospital District
- Stephenville 2108 ER Physicians PLLC
- Stephenville Complete UC & Family Medicine PLLC
- Stephenville Dental, PLLC
- Stephenville Eye Center, PLLC
- Stephenville Family Dentistry, Inc.
- Stephenville I Enterprises, LLC
- Stephenville Isd
- Stephenville Medical and Surgical Clinic PA
- Stephenville Optical, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.