John C Stovall Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2879 Issued in LA

Practice address

642 Shadows LN
Baton Rouge, LA 70806-6532

Phone

(225) 927-9277

Fax

(225) 927-9930

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558392258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 SHADOWS LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066532",
            "telephone_number": "225-927-9277",
            "fax_number": "225-927-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 SHADOWS LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066532",
            "telephone_number": "225-927-9277",
            "fax_number": "225-927-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "2879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G5120",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Hamby Stott
• Brian Thomas Stout, MD
• Marshall Stout, CRNA
• Megan McCaskill Stout, M.ED. CCC-SLP
• Robert Stout, C.R.N.A.
• Anna Marie Strahan
• Erik A Strahan, DPT
• Sharon Strahan
• William Tyler Strahan, APRN
• Holly M Strange, MS CCC SLP

• Dentist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.