Individual provider Active NPI

Christopher Stansbury PLLC, DDS, MS

  • Dentist
  • Austin, TX
National Provider Identifier
1841458379
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013844 Issued in GA
Practice address
10119 Lake Creek Parkway
Suite #1
Austin, TX 78729
Phone
(512) 258-6979
Fax
(512) 250-0381
NPI assigned
May 31, 2008
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019027131 IL
Dentist 122300000X DN013844 GA Primary

Addresses

Primary practice location

10119 Lake Creek Parkway
Suite #1
Austin, TX 78729

Mailing address

10119 Lake Creek Parkway
Suite #1
Austin, TX 78729
Phone (512) 258-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN013844GAMDDentist
019027131ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Orthodontics PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1841458379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 LAKE CREEK PARKWAY",
            "address_2": "SUITE #1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-258-6979",
            "fax_number": "512-250-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 LAKE CREEK PARKWAY",
            "address_2": "SUITE #1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-258-6979",
            "fax_number": "512-250-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY PLLC",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027131",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.