NPIMap

Organization Active NPI

Stonecreek Acquisitions, LLC

Doing business as StoneCreek Dental Care -- Hoover

  • Dentist
  • Hoover, AL
National Provider Identifier
1780019695
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3968 Issued in AL
Legal business name
STONECREEK ACQUISITIONS, LLC
Doing business as
StoneCreek Dental Care -- Hoover
Practice address
1633 Montgomery Hwy Ste 5
Hoover, AL 35216-4908
Phone
(205) 979-6005
Fax
(205) 979-6073
NPI assigned
Sep 10, 2013
Last updated
Aug 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. Ron Beasley, DMD
Title
Owner
Phone
(205) 979-6005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
Dentist 122300000X 3968 AL Primary

Addresses

Primary practice location

1633 Montgomery Hwy Ste 5
Hoover, AL 35216-4908

Mailing address

1633 Montgomery Hwy Ste 5
Hoover, AL 35216-4908
Phone (205) 979-6005

Other names 1

  • StoneCreek Dental Care -- Hoover Doing business as

National Provider Directory

National Provider Directory

Locations

1633 Montgomery Hwy
Ste 5
Hoover, AL 35216
Phone (205) 979-6005

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1780019695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 MONTGOMERY HWY STE 5",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164908",
            "telephone_number": "205-979-6005",
            "fax_number": "205-979-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MONTGOMERY HWY STE 5",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352164908",
            "telephone_number": "205-979-6005",
            "fax_number": "205-979-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK ACQUISITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-979-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneCreek Dental Care -- Hoover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

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

Verify at the official NPI Registry.