John A. Standefer Jr., MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

F2038 Issued in TX

Practice address

17311 Dallas Parkway
Dallas, TX 75248

Phone

(214) 540-0371

Fax

(214) 540-0781

NPI assigned

Mar 7, 2007

Sex

Male

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 26, 2017 through Jun 26, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1801926720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 DALLAS PARKWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "214-540-0371",
            "fax_number": "214-540-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 DALLAS PARKWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "214-540-0371",
            "fax_number": "214-540-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDEFER",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "F2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Leann Stamps, RN
• Roman Stana, MD
• Teresa Stanaback, OTR
• Irina Stanasel
• Laura Stanczak, MSN, APRN, FNP-C
• Standifer Chiropractic Clinic, P.C.
• Jeffrey Shawn Standifer, D.C.
• Jesse A Standifer II, M.D.
• Kathleen Standish, MD
• Laura Elizabeth Standridge, CRNA

• Otolaryngology/Facial Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.