Adriane Medenwald Stanley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3452-08 Issued in MS

Practice address

101 W Washington St Ste C3&4
Ridgeland, MS 39157-2434

Phone

(601) 856-4888

Fax

(601) 856-8077

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1790984813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C3&4",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-4888",
            "fax_number": "601-856-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W WASHINGTON ST STE C3&4",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572434",
            "telephone_number": "601-856-4888",
            "fax_number": "601-856-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ADRIANE",
        "middle_name": "MEDENWALD",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3452-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Stafford, LPC
• Whitney Leigh Stafford, SLP
• Standard Medical Equipment Corporation
• Addie Stanford, D.C.
• Stanley Family Dental, PLLC
• Kianna Stanley
• Stat Healthcare LLC
• State of Mississippi - University of Mississippi Medical Center
• State of Mississippi - University of Mississippi Medical Center
• Lauren Tonos Stayer, OTR

• General Practice Dentistry in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.