Active NPI
Lowell David Stanford, DDS
- Public Health Dentistry
- Fort Riley, KS
National Provider Identifier
1740760842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 34513
- Practice address
- 228 Beeman PL
Fort Riley, KS 66442-7009 - Phone
- (785) 240-7417
- NPI assigned
- Aug 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34513 | TX | |
| Public Health Dentistry | 1223D0001X | 34513 | TX | Primary |
Addresses
Primary practice location
228 Beeman PL
Fort Riley, KS 66442-7009
Mailing address
228 Beeman PL
Fort Riley, KS 66442-7009
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 |
|---|---|---|---|
| 34513 | TX | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1740760842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BEEMAN PL",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BEEMAN PL",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664427009",
"telephone_number": "785-240-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFORD",
"first_name": "LOWELL",
"middle_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-17",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34513",
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "34513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.