DR. BRIAN DOUGLAS STAPP DDS NPI 1104908714

NPI Information

NPI: 1104908714
Provider Name: DR. BRIAN DOUGLAS STAPP, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
11970 WILCREST DR
SUITE 101
HOUSTON, TX
ZIP 77031
Phone: (281) 933-9950
Get Directions

DR. Brian Douglas Stapp, DDS is an oral and maxillofacial surgery dentist in Houston, TX. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Brian Douglas Stapp, DDS NPI is 1104908714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11970 WILCREST DR
SUITE 101
HOUSTON, TX
ZIP 77031-923
Phone: (281) 933-9950
Fax: (281) 933-9953

The NPI 1104908714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	16399	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5395637	OTHER	TEXAS	AETNA PROVIDER ID#
2	16399	OTHER	TEXAS	STATE LICENSE #
3	U70881	MEDICARE UPIN	TEXAS
4	8C0530	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
5	00961W	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE GROUP #
6	86D552	OTHER	TEXAS	BC/BS PROVIDER#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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