James Ballentine Stuckey Sr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2212 Issued in SC

Practice address

512 Glen Laurel Dr
Easley, SC 29642-2011

Phone

(864) 859-8503

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043246135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 GLEN LAUREL DR",
            "address_2": "P.O.BOX 1445",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422011",
            "telephone_number": "864-859-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 GLEN LAUREL DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422011",
            "telephone_number": "864-859-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "JAMES",
        "middle_name": "BALLENTINE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stride Counseling & Facilitation, LLC
• Stride Healthcare LLC
• Bernice Mary Strother, LRD
• Briana Albright Stroud, PHARM D
• Lori Shannon Stubbs, PTA
• Kristen Ann Sturm
• Yvonne Styles, NP
• Judson Lee Suber, D.M.D.
• Kimberly Sue Sudduth, RN
• Adam Jack Sullivan

• General Practice Dentistry in Easley, SC
• Providers in Easley, SC by specialty
• General Practice Dentistry in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.