John S Stanbery, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS5053 Issued in TN

Practice address

413 Berywood TRL NW
Cleveland, TN 37312-5285

Phone

(423) 472-0067

Fax

(423) 476-2021

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bradley County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Cleveland, TN
  • NPI 1801884010

  Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629004585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BERYWOOD TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125285",
            "telephone_number": "423-472-0067",
            "fax_number": "423-476-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BERYWOOD TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125285",
            "telephone_number": "423-472-0067",
            "fax_number": "423-476-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANBERY",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS5053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Spradlin, D.C.
• Bailey Spradling, LMFT
• Dedra Spradling, M.A.
• Lee Ann Stabler, CNM
• Staffco of Eastern Tennessee, LLC. (At Home Healthcare of East Tennessee)
• Sarah Chayil Stath
• Stephan M Becker MD
• Stephen V. Dreskin MD PC (TN Valley Pain Management)
• Victoria Stepp, DNP, APRN, FNP-C
• Robert A Stetson Jr., MD

• General Practice Dentistry in Cleveland, TN
• Providers in Cleveland, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.