Organization Active NPI

George C. Stacey, Jr. D.M.D. Family Denistry P.C.

  • Dentist
  • Gadsden, AL
National Provider Identifier
1679688923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5034 Issued in AL
Legal business name
GEORGE C. STACEY, JR. D.M.D. FAMILY DENISTRY P.C.
Practice address
938 Forrest Ave
Gadsden, AL 35901-3623
Phone
(256) 546-4947
Fax
(256) 546-8846
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Carroll Stacey Jr., D.M.D.NPI 1821275975
Title
Owner
Phone
(256) 546-4947

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5034 AL Primary

Addresses

Primary practice location

938 Forrest Ave
Gadsden, AL 35901-3623

Mailing address

938 Forrest Ave
Gadsden, AL 35901-3623
Phone (256) 546-4947

Other identifiers 1

IdentifierTypeStateIssuer
515-02634OtherALBC/BS OF AL

National Provider Directory

National Provider Directory

Locations

938 Forrest Ave
Gadsden, AL 35901
Phone (256) 546-4947

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679688923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013623",
            "telephone_number": "256-546-4947",
            "fax_number": "256-546-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 FORREST AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013623",
            "telephone_number": "256-546-4947",
            "fax_number": "256-546-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C. STACEY, JR. D.M.D. FAMILY DENISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-546-4947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AL",
            "identifier": "515-02634",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.