JOHN S STANBERY DDS
NPI 1629004585
Dentist - General Practice in Cleveland, TN

Active since June 23, 2006PECOS Enrolled
413 BERYWOOD TRL NW, CLEVELAND, TN 37312(423) 472-0067(423) 476-2021 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John S Stanbery Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN S STANBERY DDS (NPI 1629004585) is an individual general practice provider in Cleveland, Tennessee, licensed in Tennessee (DS5053) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629004585
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN S STANBERYCredential: DDS
Location Address413 BERYWOOD TRL NWCleveland, TN 37312-5285
Mailing Address413 Berywood Trl NwCleveland, TN 37312-5285 · (423) 472-0067 · Fax (423) 476-2021
Fax(423) 476-2021
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1629004585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TN · DS5053
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
413 BERYWOOD TRL NW, Cleveland, TN 37312

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John S Stanbery Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
413 BERYWOOD TRL NW
CLEVELAND, TN 37312
Dentist (General Practice)
413 BERYWOOD TRL NW
CLEVELAND, TN 37312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Stanbery's NPI number?

The NPI number for John Stanbery is 1629004585. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is John Stanbery located?

John Stanbery practices at 413 Berywood Trl NW, Cleveland, TN 37312. The listed phone number is (423) 472-0067.

What is John Stanbery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Stanbery enrolled in Medicare?

Yes. John Stanbery is registered in the Medicare PECOS enrollment system.

What insurance does John Stanbery accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list John Stanbery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Stanbery was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.