Jason T. Stuan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA48681 Issued in CA

Practice address

889 9TH St
Arcata, CA 95521-6275

Phone

(707) 822-0525

Fax

(707) 822-0500

NPI assigned

Mar 13, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 9, 2017 through Feb 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1093956401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 9TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216275",
            "telephone_number": "707-822-0525",
            "fax_number": "707-822-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 9TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216275",
            "telephone_number": "707-822-0525",
            "fax_number": "707-822-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUAN",
        "first_name": "JASON",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48681",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA48681",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA48681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Stillinger, PSY.D.
• Kathleen F Stone, FNP
• Clover Honey Strickling
• Tiffany Strohbin, SUDRC
• Allegra Stroup, FNP
• Shannon Leigh Stuart-Maver
• Craig Alan Sumner, PHARMACIST
• Sarah Sumner, PHARMD
• James S Surdilla, DDS
• Kassie Swaney

• General Practice Dentistry in Arcata, CA
• Providers in Arcata, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.