Cynthia Quinn Stockwell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14003 Issued in TX

Practice address

378 Las Palmas Drive
San Antonio, TX 78237-3108

Phone

(210) 432-7778

NPI assigned

Feb 27, 2007

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1982731279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NOBHILL DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281729",
            "telephone_number": "210-432-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 LAS PALMAS DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373108",
            "telephone_number": "210-432-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "CYNTHIA",
        "middle_name": "QUINN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008627401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX CHIPS DELTA DENTAL",
            "identifier": "B14003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Stock
• Allison Jones Stocker, MD
• Eric Hermann Stocker, MD
• Kirk Stocker, RPH
• Kendal Stockstill
• Michelina D Stoddard, PHD
• Alison G. Stoeckmann, LCSW
• Ronald Stephen Stogryn, MD
• Jackson Stogsdill
• Geoffery Gerard Stokelin, RRT

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.