Stuart Christian Mauger, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2024020973 Issued in MO

Practice address

3100 E Zora St
Webb City, MO 64870-9770

Phone

(417) 228-8286

NPI assigned

May 17, 2018

Last updated

Jan 13, 2025By the provider in NPPES

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

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.

• Moc Joplin, PLLC

  dba Joplin Children's Dentistry

  • Dentist
  • Joplin, MO
  • NPI 1265096325
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1508356221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E ZORA ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709770",
            "telephone_number": "417-228-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E ZORA ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709770",
            "telephone_number": "417-228-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGER",
        "first_name": "STUART",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "62279",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2024020973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lingenfelter, DPT
• Live Well Psychotherapy Services of Southwest Missouri LLC
• Katlin Loos, PA-C
• David Josiah Lundy, PTA
• Brynn Kimberly Lynch, COTA/L
• Cory McLeod, DDS
• Rime Mehannek, MD
• Annette Merritt, RPH
• Breck Alan Mitchell, PT, DPT
• Moc Webb City, P L L C

• Pediatric Dentistry in Webb City, MO
• Providers in Webb City, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.