Dr. Joseph R. Stout, DDS, MSD, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60292936 Issued in WA

Legal business name

DR. JOSEPH R. STOUT, DDS, MSD, LLC

Practice address

2210 Kulshan View Dr
Mount Vernon, WA 98273-2779

Phone

(360) 424-3811

NPI assigned

Jun 24, 2012

Organization subpart

No

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

Authorized official

Name

Joseph Stout

Title

Dr.

Phone

(360) 424-3811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1306109376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSEPH R. STOUT, DDS, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "360-424-3811"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60292936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Helene Douglass, MOT, OTR/L
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• Rebecca Dow, LMT
• Carrie Ann Downing-Larick, DO, MPH
• Dr Paul a Berghuis Inc PS
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• Emilee Ariana Draney
• Therese Williams Dumas, ARNP
• Dawn Duncan-Lewis, MS

• Pediatric Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.