Organization Active NPI

Jerry L Stoneking D.D.S.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Petersburg, FL
National Provider Identifier
1962419580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4177 Issued in FL
Legal business name
JERRY L STONEKING D.D.S.,P.A.
Practice address
6600 10TH Ave N
Saint Petersburg, FL 33710-6104
Phone
(727) 381-1240
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry L Stoneking, D.D.S.
Title
President
Phone
(727) 381-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4177 FL Primary

Addresses

Primary practice location

6600 10TH Ave N
Saint Petersburg, FL 33710-6104

Mailing address

6600 10TH Ave N
Saint Petersburg, FL 33710-6104
Phone (727) 381-1240

National Provider Directory

National Provider Directory
Tax ID family
Jerry L Stoneking DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6600 10th Ave N
Saint Petersburg, FL 33710
Phone (727) 381-1240

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962419580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 10TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106104",
            "telephone_number": "727-381-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 10TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106104",
            "telephone_number": "727-381-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L STONEKING D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONEKING",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-381-1240",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.