Individual provider Active NPI

Stephen Barry Mackler, DDS,MS

  • Periodontics
  • Greensboro, NC
National Provider Identifier
1942207543
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
NC 3372 Issued in NC
Practice address
301 E Wendover Ave
Ste 315
Greensboro, NC 27401-1231
Phone
(336) 379-8377
Fax
(336) 275-2078
NPI assigned
Jun 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NC 3372 NC Primary

Addresses

Primary practice location

301 E Wendover Ave
Ste 315
Greensboro, NC 27401-1231

Mailing address

301 E Wendover Ave
Ste 315
Greensboro, NC 27401-1231
Phone (336) 379-8377

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NC 3372NCMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942207543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "address_2": "STE 315",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011231",
            "telephone_number": "336-379-8377",
            "fax_number": "336-275-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "address_2": "STE 315",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011231",
            "telephone_number": "336-379-8377",
            "fax_number": "336-275-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKLER",
        "first_name": "STEPHEN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "NC 3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.