Stuart Boekeloo, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STUART BOEKELOO, DDS, PC

Doing business as

Stuart Boekeloo, DDS, PC

Practice address

2525 S Cleveland Ave
Saint Joseph, MI 49085-2649

Phone

(269) 429-6101

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart W BoekelooNPI 1356569602

Title

Dentist

Phone

(269) 429-6101

Specialties & licenses 1

Addresses

Other names 1

• Stuart Boekeloo, DDS, PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart William Boekeloo, D.D.S.

  • General Practice Dentistry
  • Saint Joseph, MI
  • NPI 1356569602
  NPD Authorized official

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1629712062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852649",
            "telephone_number": "269-429-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S CLEVELAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852649",
            "telephone_number": "269-429-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART BOEKELOO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "BOEKELOO",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "269-429-6101"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Boekeloo, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Stine
• Kelly Stipe, DPT
• Sarah Stocker
• Alexander Ray Stoddard, MD
• Jenna Elise Stoddard, OD
• Stull Chiropractic PLC
• Kathlynn Jon Stull, D.C.
• Michael Joseph Stusick, D.D.S.P.C.
• Ted Sugimoto, MD
• Frederick Tobin Sulier, ED.D

• Dental Clinic/Center in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.