Scott Walter Studerus, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010603 Issued in WA

Practice address

5122 Olympic Dr NW
B-104
Gig Harbor, WA 98335-1767

Phone

(253) 851-2249

Fax

(253) 851-2204

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023136454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 HARPER HILL RD SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668973",
            "telephone_number": "253-851-2249",
            "fax_number": "253-851-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW",
            "address_2": "B-104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351767",
            "telephone_number": "253-851-2249",
            "fax_number": "253-851-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDERUS",
        "first_name": "SCOTT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Strain
• Amanda R Stredicke, CMA
• Ashley Street, MA
• Paul Daniel Stromstad, LDO
• Emily L Strovink
• Heidi Lyn Sturgeon
• Jesus Suarez, RN
• Suburban Obsyetrics and Gynecology P.S.
• Jay Cummings Sullivan, D.O.
• Justine Elise Sullivan

• General Practice Dentistry in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.