NPIMap

Individual provider Active NPI

Jonathan A Stuart, DDS

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1043749062
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60774794 Issued in WA
Practice address
213 W G St
Ontario, CA 91762-3227
Phone
(909) 986-6180
Fax
(909) 986-6179
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103149 CA
General Practice Dentistry 1223G0001X DE60774794 WA Primary

Addresses

Primary practice location

213 W G St
Ontario, CA 91762-3227

Mailing address

1545 Business One Cir
Walla Walla, WA 99362-9526
Phone (509) 525-4662

Other practice location 1

5250 Philadelphia St Ste O
Chino, CA 91710-2483
Phone (909) 613-1300

Other practice location 2

786 E Foothill Blvd Ste D
Rialto, CA 92376-5285
Phone (909) 874-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60774794WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Esparza Dentistry Inc. General Practice PastSince Oct 19, 2020 Accepting new patients
Esparza Dentistry Inc. Past Accepting new patients
Stuart Dental LLC Past Accepting new patients
Ronald J. Will, D.D.S., PLLC General Practice Past Accepting new patients
Esparza Dentistry Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1043749062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BUSINESS ONE CIR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629526",
            "telephone_number": "509-525-4662",
            "fax_number": "509-525-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W G ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-986-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Philadelphia St Ste O",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102483",
            "country_code": "US",
            "telephone_number": "909-613-1300",
            "fax_number": "909-613-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 E Foothill Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765285",
            "country_code": "US",
            "telephone_number": "909-874-7870",
            "fax_number": "909-874-8761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103149",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60774794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.