Charles Glenn Stone Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19877 Issued in TX

Practice address

3100 New Copeland Rd
Tyler, TX 75701-7940

Phone

(903) 597-2848

NPI assigned

Jul 18, 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stone Oral Facial Surgery Group PLLCGroup PAC ID 9234382284, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Stone Oral Facial Surgery Group PLLC

  dba Southern Surgical Arts

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
  • NPI 1912258740
  Medicare reassignment Care Compare group NPD Authorized official
• Barry G Acker DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
  • NPI 1124393434
  NPD (past)
• East Texas Medical Center

  dba Etmc EMS

  • Land Ambulance
  • Bellmead, TX
  • NPI 1568964518
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1841219342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017940",
            "telephone_number": "903-597-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017940",
            "telephone_number": "903-597-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "CHARLES",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203274001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Martin Stocks, MD
• Victoria Stokes
• Melissa Stolsworth
• Stone Oral Facial Surgery Group PLLC (Southern Surgical Arts)
• Brian Henry Stone, D.D.S., M.D.
• Lindsey Stone
• Amanda Storer, PTA
• Nicholas Ryan Storey, MD
• Katie Storrs, P.A.-C
• Charmaine Stotler, APRN, FNP-C, ENP-C

• Oral and Maxillofacial Surgery (Dentist) in Tyler, TX
• Providers in Tyler, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.