Organization Active NPI

E. Keith Stutznegger, D.D.S., Inc.

  • General Practice Dentistry
  • Oroville, CA
National Provider Identifier
1144450289
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25634 Issued in CA
Legal business name
E. KEITH STUTZNEGGER, D.D.S., INC.
Practice address
455 Oro Dam Blvd E
Suite E
Oroville, CA 95965-5733
Phone
(530) 534-8330
Fax
(530) 534-5767
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. E Keith Stutznegger, D.D.S.
Title
President
Phone
(530) 534-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25634 CA Primary

Addresses

Primary practice location

455 Oro Dam Blvd E
Suite E
Oroville, CA 95965-5733

Mailing address

455 Oro Dam Blvd E
Suite E
Oroville, CA 95965-5733
Phone (530) 534-8330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1144450289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ORO DAM BLVD E",
            "address_2": "SUITE E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655733",
            "telephone_number": "530-534-8330",
            "fax_number": "530-534-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ORO DAM BLVD E",
            "address_2": "SUITE E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655733",
            "telephone_number": "530-534-8330",
            "fax_number": "530-534-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. KEITH STUTZNEGGER, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "STUTZNEGGER",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-534-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.