Jean C Stout DDS and Associates Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12508 Issued in TX

Legal business name

JEAN C STOUT DDS AND ASSOCIATES INC

Practice address

2907 Strawberry Rd
Pasadena, TX 77502-5214

Phone

(713) 947-8222

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pearl Ollyne Laverne

Title

Office Manager

Phone

(713) 947-8228

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1235556036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775025214",
            "telephone_number": "713-947-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775025214",
            "telephone_number": "713-947-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN C STOUT DDS AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "LAVERNE",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "OLLYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-947-8228"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "12508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090507701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Tran MD PA
• Cleve O. James, M.D., PH.D.
• Pamela James, APRN, FNP-C
• Sammie James
• JD United, PA
• Jean C Stout DDS and Associates Practice PLLC
• Ming Jeang, M.D.
• Joynita Jenkins, RPH
• Patrick Sean Jernigan
• Ahmad Mohamed Jeroudi, MD

• Pediatric Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.