Active NPI
Charles Malcolm Stone, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Uniontown, PA
National Provider Identifier
1952365009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS018181
- Practice address
- 625 Cherry Tree Lane
Uniontown, PA 15401 - Phone
- (724) 439-1717
- Fax
- (724) 439-5727
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- 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 Surgery (Dentist) | 1223S0112X | DS018181 | PA | Primary |
Addresses
Primary practice location
625 Cherry Tree Lane
Uniontown, PA 15401
Mailing address
625 Cherry Tree Lane
Uniontown, PA 15401
Phone (724) 439-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018181 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1952365009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CHERRY TREE LANE",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "15401",
"telephone_number": "724-439-1717",
"fax_number": "724-439-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 CHERRY TREE LANE",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "15401",
"telephone_number": "724-439-1717",
"fax_number": "724-439-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "CHARLES",
"middle_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS018181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.