Joseph Ryan Stout, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60292936 Issued in WA

Practice address

651 SE Maylor St
Oak Harbor, WA 98277-5413

Phone

(206) 427-2514

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joseph Stout DDS PLLC

  • Dental Clinic/Center
  • Oak Harbor, WA
  • NPI 1750088324
  NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1366756728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SE MAYLOR ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775413",
            "telephone_number": "206-427-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JOSEPH",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60292936",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR 60168161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Stewart, SLP
• Stillwater Behavioral Health and Wellness, PLLC
• Jonathan F Stinson, MD
• Felicia Stone, RPH
• Brooke Erin Stout
• Isaiah Stroder
• Sidney J Strother, DDS
• Gabrielle Struck
• Deatrice Denasha Styles
• Keyosha Keyra Styles

• Pediatric Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, 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 21, 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.