Michael Stout DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHAEL STOUT DDS PC

Practice address

30 Stoneridge Dr Ste 102
Waynesboro, VA 22980-6522

Phone

(540) 949-8053

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Thomas Childress

Title

Office Manager

Phone

(540) 949-8053

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Edward Stout, DDS

  • General Practice Dentistry
  • Waynesboro, VA
  • NPI 1235184995
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1215656285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STONERIDGE DR STE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806522",
            "telephone_number": "540-949-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STONERIDGE DR STE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806522",
            "telephone_number": "540-949-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STOUT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-949-8053"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivan Barkat Meliza, SLP
• Charles Alan Melton, D MIN LPC
• Mending Counseling Center for Loss and Life Transition, LLC
• Rebecca Metcalf, OTD, OTR/L
• Michael E. Stout, DDS PC
• Michael T Cunningham, DDS, PC
• Mid-Atlantic Recovery Center Shenandoah LLC
• Amanda Thacker Mikolay, DNP, FNP-C
• Houston Marion Miller, DDS
• Richards Marion Miller, DDS

• Dentist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.