Organization Active NPI

Jean C Stout DDS and Associates Practice PLLC

  • Pediatric Dentistry
  • Pasadena, TX
National Provider Identifier
1386063162
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12508 Issued in TX
Legal business name
JEAN C STOUT DDS AND ASSOCIATES PRACTICE PLLC
Practice address
2907 Strawberry Rd
Pasadena, TX 77502-5214
Phone
(713) 947-8228
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Ms. Pearl O Laverne
Title
Office Manager
Phone
(713) 947-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 12508 TX Primary

Addresses

Primary practice location

2907 Strawberry Rd
Pasadena, TX 77502-5214

Mailing address

2907 Strawberry Rd
Pasadena, TX 77502-5214

National Provider Directory

National Provider Directory

Locations

2907 Strawberry Rd
Pasadena, TX 77502
Phone (713) 947-8222

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1386063162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775025214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 STRAWBERRY RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775025214",
            "telephone_number": "713-947-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN C STOUT DDS AND ASSOCIATES PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "LAVERNE",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-947-8228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "12508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.