JOHN PAUL STELLA (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1114992757

JOHN PAUL STELLA (DDS) is a healthcare provider. based in Ft worth, Texas. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. 15825 (TX). The NPI Number for JOHN PAUL STELLA (DDS) is 1114992757

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PAUL STELLA (DDS)
NPI
1114992757
Phone
(817) 927-1325
Address
1625 ST LOUIS AVE
Enumeration Date
17 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Secondary Phone
8177026936
Graduation Year
1984 (42 years ago)
PAC ID
7719933167
Group Practice PAC ID
2668498387
Professional Enrollment ID
I20051025000111
Address ID
TX761044917FO1500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

98 MAXILLOFACIAL SURGERY in TX

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Provider Addresses for JOHN PAUL STELLA (DDS)

  • 1625, Saint Louis Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FT WORTH, TX 76104

    Phone: (817) 927-1325

    Fax: (817) 927-1497

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,949.

Total Amount is formed as General ($1,949) + Research ($0) + Ownership ($0) = $1,949.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: BioHorizons Implant Systems Inc. ($1,686).

Total Amount

$1,949

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,949

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051025000111IMaxillofacial SurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668498387View full group profile
NameSpecialtyState
-TX
Maxillofacial Surgery, Oral Surgery, Plastic And Reconstructive Surgery, Vascular SurgeryTX
Oral SurgeryMI
Oral SurgeryTX
Oral SurgeryTX
Maxillofacial SurgeryTX
Maxillofacial SurgeryTX
-CA
-TX
-TX

Reviews

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Frequently asked questions

Can I cross-check JOHN PAUL STELLA (DDS) using NPI 1114992757?
NPI 1114992757 belongs to JOHN PAUL STELLA (DDS); compare other details if you need extra assurance.
Is there an active status for JOHN PAUL STELLA (DDS)?
For scheduling context, JOHN PAUL STELLA (DDS) is shown as active in the registry.
What clinical focus is listed for JOHN PAUL STELLA (DDS)?
At a glance, JOHN PAUL STELLA (DDS) is tied to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN PAUL STELLA (DDS)?
Travel planning: use Ft Worth, Texas as the reference point for JOHN PAUL STELLA (DDS), then confirm.
Can I trust this NPI listing for JOHN PAUL STELLA (DDS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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