DR. RICHARD A STACEY PC (NPI# 1063519270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063519270 |
| Entity Type | Organization |
| Organization Name | DR. RICHARD A STACEY PC |
| Practice Address |
1201 Betz Rd Bellevue NE 68005-3024 |
| Mailing Address |
1201 Betz Road Bellevue NE 68005-3024 |
| Practice Telephone | 4022913721 |
| Practice Fax Number | 4022917566 |
| Mailing Telephone | 4022913721 |
| Mailing Fax Number | 4022917566 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | DR. RICHARD A STACEY (OWNER) |
| Authorized Official Telephone | 4022913721 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1201 BETZ RD |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363972 | Kemahli, LLC | Clinic/Center | 15710 Ne 24th St Ste B, Bellevue, WA 98008-2444 | 2020-07-21 |
| 1700432390 | Kitts & Kitts Pllc | Clinic/Center | 13715 Ne Bel Red Rd, Bellevue, WA 98005-4570 | 2019-08-10 |
| 1265086029 | Overlake Family Dental | Clinic/Center | 2020 116th Ave Ne Ste 220, Bellevue, WA 98004-3059 | 2019-07-30 |
| 1235621046 | Preet Taneja Dds, Pllc | Clinic/Center | 14655 Ne Bel Red Rd # F103, Bellevue, WA 98007-3900 | 2018-06-06 |
| 1699202598 | Hansen & Lintakoon Dds Pllc | Clinic/Center | 12330 Ne 8th St Ste 200, Bellevue, WA 98005-3187 | 2017-05-23 |
| 1306392022 | Zan Xu Dds of Bellevue Pllc | Clinic/Center | 1160 106th Ave Ne, Bellevue, WA 98004 | 2016-09-01 |
| 1871048421 | Joseph Mecca, Dmd, Pllc | Clinic/Center | 14535 Bel Red Rd Ste 102, Bellevue, WA 98007-3907 | 2016-08-23 |
| 1871046151 | Vikram Likhari Bds, Ms | Clinic/Center | 13635 Bel Red Rd, Bellevue, WA 98005-4555 | 2016-08-03 |
| 1366898231 | Michael Gile Dds Pllc | Clinic/Center | 14420 Bel Red Rd Ste 205, Bellevue, WA 98007-3930 | 2016-05-10 |
| 1366822017 | Davinci Dental | Clinic/Center | 909 112th Ave Ne Ste P104, Davinci Dental, Bellevue, WA 98004-8589 | 2015-06-08 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.