Victor S Stime, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6177 Issued in WA

Practice address

34705 N Newport Hwy
Riverside Dental Clinic
Chattaroy, WA 99003-7711

Phone

(509) 292-2211

Fax

(505) 292-2209

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316922792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21702 N PERRY RD",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990059487",
            "telephone_number": "509-468-2651",
            "fax_number": "509-466-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34705 N NEWPORT HWY",
            "address_2": "RIVERSIDE DENTAL CLINIC",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990037711",
            "telephone_number": "509-292-2211",
            "fax_number": "505-292-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIME",
        "first_name": "VICTOR",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5004155",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan P Stime MD Riverside Medical-Dental Clinic
• Jereme J Nelson, PTA
• Restorative Counseling
• Riverside School District
• Nathan P Stime, MD
• Stonewall Residential Care, LLC
• Miriam Turney
• Village Health Telehealth PLLC

• General Practice Dentistry in Chattaroy, WA
• Providers in Chattaroy, WA by specialty
• General Practice Dentistry in Washington

• 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.