Stonecreek Acquisitions, L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONECREEK ACQUISITIONS, L.L.C.

Practice address

5750 Bentley Way
Trussville, AL 35173-6700

Phone

(205) 655-5144

NPI assigned

Jan 3, 2019

Organization subpart

Yes

Parent organization

STONECREEK ACQUISITIONS, L.L.C.As reported in NPPES

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

Authorized official

Name

Mrs. Nanette Lynn Cipcic

Title

Practice Administrator

Phone

(205) 655-5144

Specialties & licenses 1

Addresses

Other names 1

• StoneCreek Dental Care-Trussville Doing business as

Part of

Stonecreek Acquisitions LLC

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1790258671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BENTLEY WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736700",
            "telephone_number": "205-655-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BENTLEY WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736700",
            "telephone_number": "205-655-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK ACQUISITIONS, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONECREEK ACQUISITIONS, L.L.C.",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "CIPCIC",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "205-655-5144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StoneCreek Dental Care-Trussville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carter Lisette Starr, M.D.
• Zachary B Steele, O.D.
• Ana Steidinger, PT
• Jason Lane Stephenson, O.D.
• Steven Ingrid Boone Youth Foundation
• Stonecreek Dental of Alabama
• Taylen Sturwold, CRNP
• STV Primary Care East LLC
• STV Sports Medicine & Orthopedics LLC
• Thad Ashley Sullens, D.M.D.

• General Practice Dentistry in Trussville, AL
• Providers in Trussville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.