Active NPI
James Edward Staggs II, DDS PA
- Dentist
- Lufkin, TX
National Provider Identifier
1790846285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15212
- Practice address
- 1717 Sayers St
Lufkin, TX 75904-1137 - Phone
- (936) 560-5668
- NPI assigned
- Dec 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15212 | TX | Primary |
Addresses
Primary practice location
1717 Sayers St
Lufkin, TX 75904-1137
Mailing address
3120 E Nasa Road One
Seabrook, TX 77586
Phone (281) 326-7117
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15212 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Community Health Services, Inc. | Current | 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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Nacogdoches, TX
- NPI 1255367090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1790846285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 E NASA ROAD ONE",
"city": "SEABROOK",
"state": "TX",
"postal_code": "77586",
"telephone_number": "281-326-7117",
"fax_number": "281-326-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SAYERS ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759041137",
"telephone_number": "936-560-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.