Active NPI
Ginger Battle Stagg, DDS
- Pediatric Dentistry
- Lake Jackson, TX
National Provider Identifier
1740374636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 21439
- Practice address
- 103 Abner Jackson Pkwy
Lake Jackson, TX 77566-5163 - Phone
- (979) 297-5437
- Fax
- (979) 299-6166
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 21439 | TX | Primary |
Addresses
Primary practice location
103 Abner Jackson Pkwy
Lake Jackson, TX 77566-5163
Mailing address
3606 Dogwood Blossom CT
Pearland, TX 77581
Phone (281) 412-4511
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 |
|---|---|---|---|
| 21439 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Jackson Oral and Maxillofacial Surgery, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Lake Jackson, TX
- NPI 1831557370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1740374636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 DOGWOOD BLOSSOM CT",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77581",
"telephone_number": "281-412-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 ABNER JACKSON PKWY",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665163",
"telephone_number": "979-297-5437",
"fax_number": "979-299-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGG",
"first_name": "GINGER",
"middle_name": "BATTLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "21439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
- Frank Jesse Spates, OT
- Spence's Medical Center Pharmacy
- Kim Harrison Sperry, D.C.
- Marlyn Spradley-Bogan, COTA
- Springs Pediatrics Associates PLLC
- Starr Plus Pharmacy, LLC.
- Stephanie Herrera, M.D and Associates, PA (Lake Jackson Ear, Nose and Throat)
- Stephen F Austin Community Health Center, Inc (MyCHN KIDS WAY)
- Stephen F Austin Community Health Center, Inc (Lake Jackson Family Care)
- Stephen F Austin Community Health Center, Inc. (Mychn Lake Jackson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.