Individual provider Active NPI

Stuart F Ross, DMD

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1063574879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3164 Issued in DC
Practice address
919 18TH St NW
Suite LL50
Washington, DC 20006-5503
Phone
(202) 223-6300
Fax
(202) 785-0973
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3164 DC Primary
General Practice Dentistry 1223G0001X 6056 MD

Addresses

Primary practice location

919 18TH St NW
Suite LL50
Washington, DC 20006-5503

Mailing address

919 18TH St NW
Suite LL50
Washington, DC 20006-5503
Phone (202) 223-6300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3164DCMDGeneral Practice Dentistry
6056MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DC Dental Professionals, P.C. General Practice PastSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063574879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 18TH ST NW",
            "address_2": "SUITE LL50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065503",
            "telephone_number": "202-223-6300",
            "fax_number": "202-785-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 18TH ST NW",
            "address_2": "SUITE LL50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065503",
            "telephone_number": "202-223-6300",
            "fax_number": "202-785-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STUART",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "3164",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • 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.