Active NPI
Robert Whittier Stoddard Sr., DMD
- General Practice Dentistry
- Norwood, MA
National Provider Identifier
1699825760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16793
- Practice address
- 100 Day Street
Norwood, MA 02062-2125 - Phone
- (781) 762-1884
- Fax
- (781) 762-2665
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16793 | MA | Primary |
Addresses
Primary practice location
100 Day Street
Norwood, MA 02062-2125
Mailing address
100 Day Street
Norwood, MA 02062-2125
Phone (781) 762-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X11599 | Other | MA | BCBS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16793 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert W Stoddard DMD PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Norwood, MA
- NPI 1558411629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699825760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DAY STREET",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020622125",
"telephone_number": "781-762-1884",
"fax_number": "781-762-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DAY STREET",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020622125",
"telephone_number": "781-762-1884",
"fax_number": "781-762-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "ROBERT",
"middle_name": "WHITTIER",
"name_suffix": "Sr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "16793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "X11599",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
- Steward Norwood Hospital, Inc.
- Steward Norwood Hospital, Inc.
- Steward Norwood Hospital, Inc. (Steward Home Medical Equipment - Norwood Hospital)
- Steward Norwood Hospital, Inc.
- Steward Norwood Hospital, Inc.
- Erica J Stone
- Mark Alan Stone, D.M.D.
- Roy J Stracqualursi, D.M.D.
- Straehle Enterprises Inc. (Home Helpers and Direct Link 58787)
- Julia Rose Straus
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.