Laurie Carla Johns-Stoutamire, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

FL 13497 Issued in FL

Practice address

2155 Loch Rane Blvd
Orange Park, FL 32073-5719

Phone

(904) 264-7516

Fax

(904) 264-8081

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295850576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 CHERRY GROVE RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734293",
            "telephone_number": "904-298-2895",
            "fax_number": "904-298-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 LOCH RANE BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735719",
            "telephone_number": "904-264-7516",
            "fax_number": "904-264-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS-STOUTAMIRE",
        "first_name": "LAURIE",
        "middle_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "FL 13497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Denemark Inc.
• John a Fetchero Jr D O P a
• John J Harrington
• John M. Flinchbaugh D.O., P.L.
• Randy John, DC
• Brenda Willis Johns, L.M.T.
• Laurie Marie Johns, DDS
• Catherine Maria Johnson-Ford, PH.D.
• Barbara Jean Johnson, RN
• Breanna Johnson

• General Practice Dentistry in Orange Park, FL
• Providers in Orange Park, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.