Organization Active NPI

Stonehaven Dental- Killeen PLLC

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1730808403
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STONEHAVEN DENTAL- KILLEEN PLLC
Doing business as
Stonehaven Dental & Orthodontics-Killeen
Practice address
1103 W Stan Schlueter Loop Ste A200
Killeen, TX 76549-6941
Phone
(254) 233-3922
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Jenny Garcia
Title
Credentialing Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1103 W Stan Schlueter Loop Ste A200
Killeen, TX 76549-6941

Mailing address

PO Box 734753
Dallas, TX 75373-6941
Phone (254) 233-3922

Other names 1

  • Stonehaven Dental & Orthodontics-Killeen Doing business as

National Provider Directory

National Provider Directory

Locations

1103 W Stan Schlueter Loop
Ste A200
Killeen, TX 76549
Phone (254) 233-3922

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1730808403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736941",
            "telephone_number": "254-233-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W STAN SCHLUETER LOOP STE A200",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496941",
            "telephone_number": "254-233-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL- KILLEEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonehaven Dental & Orthodontics-Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.