Individual provider Active NPI

Christine Stanely, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Honesdale, PA
National Provider Identifier
1861574154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
BS1011852 Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
BS1011852PAMDOral and Maxillofacial Pathology Dentist
044805NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.