David A Stanczyk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

856 Issued in WY

Practice address

2040 Amys Ridge East CT
Beavercreek, OH 45434-7103

Phone

(937) 542-2380

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1972598902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 ABERNATHY CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323275",
            "telephone_number": "703-250-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 AMYS RIDGE EAST CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347103",
            "telephone_number": "937-542-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCZYK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "856",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Henry Stacy, LPN
• Lorie Staffan
• Stahl Vision Inc
• Brian Ray Stahl, M.D.
• Thomas R Stahl, OD
• Star Pathways
• Star Pathways
• Margaret Stark, OT
• Sarah Stauffer
• Justine Lauren Steele, MSW, LSW

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.