Active NPI
Michael Edward Stout, DDS
- General Practice Dentistry
- Waynesboro, VA
National Provider Identifier
1235184995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- VA0401007125
- Practice address
- 30 Stoneridge Drive
Suite 102
Waynesboro, VA 22980 - Phone
- (540) 949-8053
- Fax
- (540) 943-2505
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | VA0401007125 | VA | Primary |
Addresses
Primary practice location
30 Stoneridge Drive
Suite 102
Waynesboro, VA 22980
Mailing address
30 Stoneridge Drive
Suite 102
Waynesboro, VA 22980
Phone (540) 949-8053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317947 | Other | VA | ANTHEM BCBS |
| 7801114 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014002423 | VA | Order and Referring Only - Dentist | 2860701828 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VA0401007125 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Stout DDS PC | Past | Accepting new patients | |
| Michael E. Stout, DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Waynesboro, VA
- NPI 1891978029
-
- Dentist
- Waynesboro, VA
- NPI 1215656285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235184995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 STONERIDGE DRIVE",
"address_2": "SUITE 102",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "22980",
"telephone_number": "540-949-8053",
"fax_number": "540-943-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 STONERIDGE DRIVE",
"address_2": "SUITE 102",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "22980",
"telephone_number": "540-949-8053",
"fax_number": "540-943-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "VA0401007125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "317947",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801114",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, VA
- Stephanie Ann Sterling, LPC
- Richard Alan Stewart, MD
- Kathy Marie Stoll, OT/L
- Brad Mason Stoller
- Maureen Stonesifer, M.ED.
- Andrew Wilhelm Strobl, PA
- Dixie Lynn Stromberg, N.P.
- Sunnyside Presbyterian Home (Summit Square Retirement Community)
- Sunnyside Presbyterian Home (Sunnyside Communities Outpatient Rehab Services)
- Synergy Rehab and Wellness, PLC (Synergy Rehab and Wellness Waynesboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.