Kenneth Joseph Stuart, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5554 Issued in ID

Practice address

2344 N Merrit CRK Loop
Coeur D Alene, ID 83814-4950

Phone

(208) 512-4130

NPI assigned

Jun 6, 2018

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1447742358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 N MERRIT CRK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144950",
            "telephone_number": "208-512-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N MERRIT CRK LOOP",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144950",
            "telephone_number": "208-512-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Scott Cir",
            "address_purpose": "LOCATION",
            "city": "Jbphh",
            "state": "HI",
            "postal_code": "968535399",
            "country_code": "US",
            "telephone_number": "808-448-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "S15-692-135",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Strong, M.S. CCC-SLP
• Ashley Stroud, NP-C
• Megan Virginia Strowd, PAC
• Denise Struhs, ARNP
• Stuart Denny (Twin Gables Family Health)
• Aspen Brooke Stucker
• Ryne Robert Stull, RN
• Rachel Anne Stumphauzer, PHARMD
• Jami Lynn Sturges, MPH RD LD
• John A Sturges, M.D.

• General Practice Dentistry in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.