Organization Active NPI

Scott Studerus DDS PS

  • Dentist
  • Belfair, WA
National Provider Identifier
1255615985
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SCOTT STUDERUS DDS PS
Practice address
131 NE Roy Boad Rd Unit C
Belfair, WA 98528-8649
Phone
(360) 275-9300
Fax
(360) 275-9315
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Scott Walter Studerus, DDS
Title
Ceo/Dentist
Phone
(360) 850-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

131 NE Roy Boad Rd Unit C
Belfair, WA 98528-8649

Mailing address

PO Box 985
Belfair, WA 98528-0985
Phone (360) 275-9300

National Provider Directory

National Provider Directory

Locations

131 NE Roy Boad Rd
Unit C
Belfair, WA 98528
Phone (360) 275-9300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1255615985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985280985",
            "telephone_number": "360-275-9300",
            "fax_number": "360-275-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NE ROY BOAD RD UNIT C",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288649",
            "telephone_number": "360-275-9300",
            "fax_number": "360-275-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT STUDERUS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "STUDERUS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "360-850-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.