Mark Nolan Stuckey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16965 Issued in OH

Practice address

3550 Briarfield Blvd
Suite 100
Maumee, OH 43537-8916

Phone

(419) 866-6985

Fax

(419) 866-4311

NPI assigned

Jul 31, 2006

Last updated

Jun 18, 2019By 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

Enrolled in OH2 enrollments

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 2

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Ohio Sleep Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Maumee, OH
  • NPI 1265093223
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1467468371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BRIARFIELD BLVD STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379184",
            "telephone_number": "419-866-6985",
            "fax_number": "419-866-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BRIARFIELD BLVD",
            "address_2": "SUITE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378916",
            "telephone_number": "419-866-6985",
            "fax_number": "419-866-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "MARK",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "16965",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Stiles
• Cory Wayne Stock, D.C.
• Stone & Wildflower Counseling & Consultation
• Kayla Stone, RBT
• Ashleigh Stubleski, PT
• Sembria Sugg, APRN-CNP
• Valerie Marie Sulewski
• Mercedes Sumrow, LPN
• Sunshine Inc Residential and Support Services
• Sunshine Inc. Residential and Support Services

• General Practice Dentistry in Maumee, OH
• Providers in Maumee, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.