MARK STALLS (NPI# 1750822805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750822805 |
| Entity Type | Individual |
| Full Name | MARK STALLS |
| Credential | C.PED. |
| Practice Address |
3106 Santa Monica Dr Denton TX 76205-8522 |
| Practice Telephone | 9403670641 |
| Practice Fax Number | 9403834144 |
| Mailing Telephone | 9403670641 |
| Mailing Fax Number | 9403834144 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | ABC CPED 1094 | TX | Other Service Providers |
| Street Address |
3106 SANTA MONICA DR |
| City | DENTON |
| State | TX |
| Zip Code | 76205-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170401 | Jolyn K Pritchett | Counselor | 109 S Woodrow Lane, Suite 300, Denton, TX 76205 | 2020-10-05 |
| 1922629849 | Haven Niland | Behavioral Analyst | 409 N I 35 E, Denton, TX 76205 | 2020-05-01 |
| 1245732783 | Sundar Embar Rangarajan | Dentist | 1300 S Loop 288 Unit 100, Denton, TX 76205 | 2018-03-01 |
| 1568918423 | Lisa Hernandez | Chiropractor | 2436 S I 35 E Ste 336, Denton, TX 76205 | 2016-08-31 |
| 1659744662 | Er24 Denton, LLC | Clinic/Center | 2426 Lillian Miller Pkwy, Denton, TX 76205 | 2015-11-12 |
| 1265816458 | Vigorcare Partners of Texas | Home Health | 1517 Centre Place Drive, Suite 350, Denton, TX 76205 | 2015-07-17 |
| 1831508738 | Denton Modern Dentistry and Orthodontics PC | Dentist | 1300 S. Loop 288, Suite 100, Denton, TX 76205 | 2014-08-05 |
| 1538575436 | Keri Strong | Specialist | 2319 San Jacinto Blvd, Denton, TX 76205 | 2014-07-11 |
| 1518206556 | Bonnie Dianna Alagood | Counselor | 1710 Westminister St., Denton, TX 76205 | 2013-02-12 |
| 1790022960 | Miriam A Koech | Behavioral Analyst | 490 N I 35 E, Denton, TX 76205 | 2013-01-08 |
| Find all providers in zip 76205 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935579 | Kimberly Ryan | Prevention Professional | 18509 Empresa Pl, Austin, TX 78738-2120 | 2020-02-24 |
| 1932731205 | Robin Gayle Douglas | Prevention Professional | 8301 Willow Place Dr N Apt 401, Houston, TX 77070-5684 | 2020-02-05 |
| 1679093587 | Cvw, Inc | Prevention Professional | 1860 Hollow Falls, Frisco, TX 75034 | 2017-06-21 |
| 1275069908 | Jared Rosen | Prevention Professional | 1 Cowboys Way, Frisco, TX 75034-1963 | 2017-05-01 |
| 1538693130 | Barbara Selmon | Prevention Professional | 5522 Grand Lake St, Bellaire, TX 77401-4834 | 2017-04-20 |
| 1245763283 | Daniel E Kropp | Prevention Professional | 3534 Bobtown Rd Apt 107, Garland, TX 75043-2018 | 2017-04-06 |
| 1487194510 | Lola Eller Hannah | Prevention Professional | 9805 Wild Ginger Dr, Mckinney, TX 75070-2868 | 2017-03-08 |
| 1265972467 | Christopher Ryan Williams | Prevention Professional | 1522 Beverly St, Odessa, TX 79761-2939 | 2017-03-07 |
| 1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
| 1730629536 | The Tfu Group, LLC | Prevention Professional | 1011 Augusta Dr Ste 102, Houston, TX 77057-2035 | 2017-02-28 |
| Find all providers with the same taxonomy | ||||
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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.