NPIMap

Organization Active NPI

Stoppelbein & Hardison, DDS PA

  • General Practice Dentistry
  • Warsaw, NC
National Provider Identifier
1972650059
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5242 Issued in NC
Legal business name
STOPPELBEIN & HARDISON, DDS PA
Practice address
121 Duplin Professional Court
Warsaw, NC 28398-0424
Phone
(910) 293-4940
NPI assigned
Jan 4, 2007
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. William J Stoppelbein, DDS, MPHNPI 1588736458
Title
President
Phone
(910) 293-4940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7282 NC
General Practice Dentistry 1223G0001X 10478 NC
General Practice Dentistry 1223G0001X 5242 NC Primary

Addresses

Primary practice location

121 Duplin Professional Court
Warsaw, NC 28398-0424

Mailing address

PO Box 424
Warsaw, NC 28398-0424
Phone (910) 293-4940

Other identifiers 2

IdentifierTypeStateIssuer
0206HOtherNCBLUE CROSS BLUE SHIELD
890206HMedicaidNC

National Provider Directory

National Provider Directory

Locations

121 Duplin Professional Ct
Warsaw, NC 28398
Phone (910) 293-4940

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1972650059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283980424",
            "telephone_number": "910-293-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DUPLIN PROFESSIONAL COURT",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283980424",
            "telephone_number": "910-293-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOPPELBEIN & HARDISON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "STOPPELBEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-293-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7282",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10478",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0206H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890206H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.