NPIMap

Organization Active NPI

Strout Acquistions, LLC

Doing business as Advanced Periodontics

  • Periodontics
  • Orange Park, FL
National Provider Identifier
1205079712
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN15749 Issued in FL
Legal business name
STROUT ACQUISTIONS, LLC
Doing business as
Advanced Periodontics
Practice address
1542 Kingsley Ave
Suite 135
Orange Park, FL 32073-4586
Phone
(904) 278-6980
Fax
(904) 278-5201
NPI assigned
Apr 14, 2009
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Stephen Strout, D.M.D.,M.S.NPI 1225046691
Title
Owner/ Dentist
Phone
(904) 794-1824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN15749 FL Primary

Addresses

Primary practice location

1542 Kingsley Ave
Suite 135
Orange Park, FL 32073-4586

Mailing address

1542 Kingsley Ave
Suite 135
Orange Park, FL 32073-4586
Phone (904) 278-6980

Other names 1

  • Advanced Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1542 Kingsley Ave
Ste 135
Orange Park, FL 32073
Phone (904) 278-6980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1205079712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 135",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-6980",
            "fax_number": "904-278-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE",
            "address_2": "SUITE 135",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734586",
            "telephone_number": "904-278-6980",
            "fax_number": "904-278-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROUT ACQUISTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "STROUT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "904-794-1824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.