Active NPI
Christine Stanely, DMD
- Oral and Maxillofacial Pathology Dentistry
- Honesdale, PA
National Provider Identifier
1861574154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- BS1011852
- Practice address
- 1095 Texas Palmyra Hwy
Suite M
Honesdale, PA 18431-7672 - Phone
- (570) 253-4000
- Fax
- (570) 253-8977
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | BS1011852 | PA | Primary |
Addresses
Primary practice location
1095 Texas Palmyra Hwy
Suite M
Honesdale, PA 18431-7672
Mailing address
1095 Texas Palmyra Hwy
Suite M
Honesdale, PA 18431-7672
Phone (570) 253-4000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BS1011852 | PA | MD | Oral and Maxillofacial Pathology Dentist |
| 044805 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Center for Oral, Facial & Implant Surgery | Oral and Maxillofacial Pathology | Past | Accepting new patients |
| Pocono Oral Surgery | Oral and Maxillofacial Pathology | Past | Accepting new patients |
| Ramapo Anesthesiologists, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Matamoras, PA
- NPI 1124222971
-
- Oral and Maxillofacial Pathology Dentistry
- Honesdale, PA
- NPI 1831393685
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861574154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 TEXAS PALMYRA HWY",
"address_2": "SUITE M",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184317672",
"telephone_number": "570-253-4000",
"fax_number": "570-253-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 TEXAS PALMYRA HWY",
"address_2": "SUITE M",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184317672",
"telephone_number": "570-253-4000",
"fax_number": "570-253-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANELY",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "PA",
"license": "BS1011852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- 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.