Active NPI
Jared William Stubbs, D.D.S.
- Dentist
- Seekonk, MA
National Provider Identifier
1164587465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12103
- Practice address
- 520 Taunton Ave
Seekonk, MA 02771-3101 - Phone
- (508) 336-7260
- Fax
- (508) 336-5970
- NPI assigned
- Dec 27, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12103 | MA | Primary |
Addresses
Primary practice location
520 Taunton Ave
Seekonk, MA 02771-3101
Mailing address
520 Taunton Ave
P.O. Box 520
Seekonk, MA 02771-3101
Phone (508) 336-7260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12103 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1164587465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 TAUNTON AVE",
"address_2": "P.O. BOX 520",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713101",
"telephone_number": "508-336-7260",
"fax_number": "508-336-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 TAUNTON AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713101",
"telephone_number": "508-336-7260",
"fax_number": "508-336-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "JARED",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "12103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.