Gus Stampelos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0439141 Issued in NY

Practice address

331 First Avenue
Total Family Dentistry
St James, NY 11780

Phone

(631) 584-5523

Fax

(631) 686-6311

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Family Dentistry of Saint James PC

  • Dental Clinic/Center
  • Saint James, NY
  • NPI 1326744178
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831392067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 FIRST AVENUE",
            "city": "ST JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-584-5523",
            "fax_number": "631-686-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 FIRST AVENUE",
            "address_2": "TOTAL FAMILY DENTISTRY",
            "city": "ST JAMES",
            "state": "NY",
            "postal_code": "11780",
            "telephone_number": "631-584-5523",
            "fax_number": "631-686-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPELOS",
        "first_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0439141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. James Nursing Home
• St. James Operating LLC
• St. James Plaza
• St. James Plaza Nursing Facility, LLC
• Georgina Stampelos, DMD
• Kevin Stancil
• Katherine Stanton, FNP-C
• State Street Medical PLLC (Medical Trigger Point)
• Ramona Anna Stills-Johnson, LCSW
• Stoneview Pathology Medical Service PLLC

• General Practice Dentistry in Saint James, NY
• Providers in Saint James, NY by specialty
• General Practice Dentistry in New York

• 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.