Individual provider Active NPI

Christian Grice Stanford, DMD

  • Dentist
  • Panama City, FL
National Provider Identifier
1891780938
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28783 Issued in FL
Practice address
5230 W Highway 98
Panama City, FL 32401-1041
Phone
(850) 872-3833
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3987 SC
Dentist 122300000X DN28783 FL Primary

Addresses

Primary practice location

5230 W Highway 98
Panama City, FL 32401-1041

Mailing address

5230 W Highway 98
Panama City, FL 32401-1041
Phone (850) 872-3833

Other practice location 1

308 Miracle Strip Pkwy SW
#36C
Ft Walton Beach, FL 32548-5217
Phone (850) 243-6810

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
DN28783FLMDDentist
3987SCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1891780938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 W HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011041",
            "telephone_number": "850-872-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 W HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324011041",
            "telephone_number": "850-872-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Miracle Strip Pkwy SW",
            "address_2": "#36C",
            "address_purpose": "LOCATION",
            "city": "Ft Walton Beach",
            "state": "FL",
            "postal_code": "325485217",
            "country_code": "US",
            "telephone_number": "850-243-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "CHRISTIAN",
        "middle_name": "GRICE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3987",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.