Active NPI
Richard J Stuart Jr., DDS
- Prosthodontics
- Indianapolis, IN
National Provider Identifier
1073658456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 8265
- Practice address
- 3021 E 98TH St
Suite 240
Indianapolis, IN 46280-2938 - Phone
- (317) 846-0509
- Fax
- (317) 574-5039
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 8265 | IN | Primary |
Addresses
Primary practice location
3021 E 98TH St
Suite 240
Indianapolis, IN 46280-2938
Mailing address
8218 Twin Pointe Cir
Indianapolis, IN 46236-8896
Phone (317) 846-0509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427002485 | IN | Order and Referring Only - Other (Non-Physician) | 3577882406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8265 | IN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1073658456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 TWIN POINTE CIR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368896",
"telephone_number": "317-846-0509",
"fax_number": "317-574-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 E 98TH ST",
"address_2": "SUITE 240",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462802938",
"telephone_number": "317-846-0509",
"fax_number": "317-574-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IN",
"license": "8265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.