Active NPI
Harry Patrick Stanley, DMD
- Pediatric Dentistry
- Decatur, AL
National Provider Identifier
1639201700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3719
- Practice address
- 1304 14TH Ave SE
Decatur, AL 35601-4315 - Phone
- (256) 355-0138
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3719 | AL | Primary |
Addresses
Primary practice location
1304 14TH Ave SE
Decatur, AL 35601-4315
Mailing address
1304 14TH Ave SE
Decatur, AL 35601-4315
Phone (256) 355-0138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3719 | AL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639201700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 14TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014315",
"telephone_number": "256-355-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 14TH AVE SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014315",
"telephone_number": "256-355-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "HARRY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "3719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
- Benjamin Stanley Stachowiak, ATC
- Sierra Marie Stadnek
- Samuel Stahly
- Kimberly B Standridge
- Louanne Stanford, LPTA
- Cedric Dewayne Stanton, NCC, LPC
- Star Optometry Al, LLC (InFocus Eyecare)
- Marshal Paul Stasica, RN
- State of Alabama
- State of Alabama Department of Public Health (Morgan County Health Dept Flu-Pneu)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.