Individual provider Active NPI

Natalie Marie Wagstaffe, DDS

  • Dentist
  • Crofton, MD
National Provider Identifier
1700070968
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13991 Issued in MD
Practice address
2411 Crofton LN
20A
Crofton, MD 21114-1336
Phone
(410) 721-0900
Fax
(410) 721-0915
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13991 MD Primary

Addresses

Primary practice location

2411 Crofton LN
20A
Crofton, MD 21114-1336

Mailing address

2411 Crofton LN
20A
Crofton, MD 21114-1336
Phone (410) 721-0900

Other names 1

  • Dr. Natalie Marie Wagstaffe-Stoute Other name

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

LicenseStateTypeSpecialty
13991MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stoute Dental PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1700070968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN",
            "address_2": "20A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141336",
            "telephone_number": "410-721-0900",
            "fax_number": "410-721-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN",
            "address_2": "20A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141336",
            "telephone_number": "410-721-0900",
            "fax_number": "410-721-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGSTAFFE",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "WAGSTAFFE-STOUTE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.