Individual provider Active NPI

Stephen Vargo

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1750764858
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31207 Issued in TX
Practice address
2040 N Loop 336 W Ste 207
Conroe, TX 77304-3580
Phone
(936) 756-2420
NPI assigned
Jul 7, 2015
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31207 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2040 N Loop 336 W Ste 207
Conroe, TX 77304-3580

Mailing address

2040 N Loop 336 W Ste 207
Conroe, TX 77304-3580

Other practice location 1

6818 Fawncliff Dr
Houston, TX 77069-3107
Phone (832) 242-4337

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

LicenseStateTypeSpecialty
31207TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Advanced Dentistry, PLLC CurrentSince Jun 27, 2021 Accepting new patients

Locations

2040 N Loop 336 W
Ste 207
Conroe, TX 77304
Phone (936) 756-2420

Interoperability endpoints

  • Direct secure messaging: svargo76413@directhoustonmethodist.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1750764858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 207",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 207",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043580",
            "telephone_number": "936-756-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6818 Fawncliff Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770693107",
            "country_code": "US",
            "telephone_number": "832-242-4337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGO",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31207",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.