Stonegate Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STONEGATE FAMILY DENTISTRY LLC

Practice address

206 N Thompson LN Ste a
Murfreesboro, TN 37129-4333

Phone

(615) 624-6919

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Chris Erwin

Title

Business Manager

Phone

(615) 624-6919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1881153898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N THOMPSON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294333",
            "telephone_number": "615-624-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N THOMPSON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294333",
            "telephone_number": "615-624-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-624-6919"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBOD",
            "identifier": "10359",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Stojakovich
• Kelley Stoker, CCC-SLP
• Maranda Stokes, MD
• Suzanne Marie Stolarz, D.D.S.
• Stonecrest Medical Group - Family Practice of Murfreesboro LLC (MidState Family Medicine and Urgent Care)
• Stones River Center
• Stones River Dermatology PLC
• Stones River Eyecare, PC
• Stones River Manor, Inc. (Stones River Advanced Care Center)
• Stones River Medical Group PC

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.