Michael Stout, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS103054 Issued in CA

Practice address

2465 Iron Point Rd Ste 120
Folsom, CA 95630-8754

Phone

(916) 984-9600

NPI assigned

Aug 21, 2018

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• O'Donnell Dental Corporation

  • General Practice Dentistry
  • Folsom, CA
  • NPI 1225123003
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1326528100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10472 ROCKINGHAM DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705826",
            "telephone_number": "916-544-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 IRON POINT RD STE 120",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308754",
            "telephone_number": "916-984-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney A Stone, LMFT
• Ronnie Eugene Stone, M.D.
• Matthew Chase Stooksbury, PHARMD
• Kami J Storck
• Matthew Joel Storment, M.D.
• Kevin Strangeway
• Vanessa Stratigakes, PT
• Catherine Elaine Striplin-Gomez, RN, CD(DONA)
• Ellie Strong
• Shandi Strong, PSYD

• All providers in Folsom, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.