Organization Active NPI

Dennis O. Stuart, PLLC

  • Family Medicine Physician
  • Lumberton, NC
National Provider Identifier
1679800635
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29990 Issued in NC
Legal business name
DENNIS O. STUART, PLLC
Practice address
103 W 27TH St
Lumberton, NC 28358-3014
Phone
(910) 738-3957
Fax
(910) 738-7354
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Dennis O. Stuart, M.D.NPI 1518962521
Title
Owner/Manager
Phone
(910) 738-3957

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 29990 NC Primary

Addresses

Primary practice location

103 W 27TH St
Lumberton, NC 28358-3014

Mailing address

109 Short Dr
Lumberton, NC 28360-8217
Phone (910) 738-3957

Other identifiers 1

IdentifierTypeStateIssuer
80693OtherNCBCBSNC

National Provider Directory

National Provider Directory

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": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1679800635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHORT DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608217",
            "telephone_number": "910-738-3957",
            "fax_number": "910-738-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583014",
            "telephone_number": "910-738-3957",
            "fax_number": "910-738-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS O. STUART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "910-738-3957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "80693",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.