Cole William Stapp, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013339A Issued in IN

Practice address

625 Elm St
Clinton, IN 47842-1728

Phone

(765) 832-3434

NPI assigned

Jun 12, 2015

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Happy Tooth, LLC

  • Dentist
  • Clinton, IN
  • NPI 1609491406
  NPD Authorized official

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1801277033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ELM ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478421728",
            "telephone_number": "765-832-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ELM ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478421728",
            "telephone_number": "765-832-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "COLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "100368",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013339A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Smith
• Jennifer Smith, LMFT
• South Vermillion Community School Corporation
• Paul Eric Southwick, MS, CADAC IV
• Martin F. B. Springer, M.D.
• John Albert Stevens, MD
• Angela Deann Stewart, P.T.
• Nicole Suzette Hall Stilianos, N.P.
• Melissa Ann Stinnett, LSW
• The Happy Tooth, LLC

• General Practice Dentistry in Clinton, IN
• Providers in Clinton, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.