Organization Active NPI

Marwood Stout, DDS, Inc.

Doing business as Anacapa Oral Surgery Dental Implant Doctor

  • Dentist
  • Oxnard, CA
National Provider Identifier
1467727602
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36787 Issued in CA
Legal business name
MARWOOD STOUT, DDS, INC.
Doing business as
Anacapa Oral Surgery Dental Implant Doctor
Practice address
1701 Solar Dr #291
Oxnard, CA 93030
Phone
(805) 981-8144
Fax
(805) 981-8146
NPI assigned
Mar 21, 2012
Organization subpart
Yes
Parent organization
MARWOOD STOUT DDS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Marwood M Stout, DDSNPI 1598708190
Title
President
Phone
(805) 981-8144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36787 CA Primary

Addresses

Primary practice location

1701 Solar Dr #291
Oxnard, CA 93030

Mailing address

1701 Solar Dr. #291
Oxnard, CA 93030
Phone (805) 981-8144

Other names 1

  • Anacapa Oral Surgery Dental Implant Doctor Doing business as

National Provider Directory

National Provider Directory
Part of
Marwood Stout DDS Inc

Locations

771 E Daily Dr
Ste 215
Camarillo, CA 93010
Phone (805) 389-9500

1701 Solar Dr
Ste 291
Oxnard, CA 93030
Phone (805) 312-8604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1467727602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR. #291",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-981-8144",
            "fax_number": "805-981-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR #291",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93030",
            "telephone_number": "805-981-8144",
            "fax_number": "805-981-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWOOD STOUT, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARWOOD STOUT DDS, INC.",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MARWOOD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-981-8144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anacapa Oral Surgery Dental Implant Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

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