Thomas Bryan Stoddard, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2687 Issued in SC

Practice address

1112 Grace Street
Greenwood, SC 29649

Phone

(864) 223-9200

Fax

(864) 223-2429

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821173071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GRACE STREET",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-223-9200",
            "fax_number": "864-223-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GRACE STREET",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-223-9200",
            "fax_number": "864-223-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "THOMAS",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z26874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger E Stevenson, MD
• Ashley Shaye Stewart, PHARM D.
• Michael Woodrow Stewart, BSW
• Cassandra Stiles
• Tim Edward Still, CACII
• James K Stokes, M.D.
• John William Storey, PHARM.D
• Kady Stoyanov
• Penny R Streby, PA-C
• Susan Striegel-Edwards, CRNA

• General Practice Dentistry in Greenwood, SC
• Providers in Greenwood, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.