Alicia Petros Stoutland, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS038640 Issued in PA

Practice address

3920 Pyle Rd
Chadds Ford, PA 19317-8934

Phone

(610) 459-2545

Fax

(610) 459-8876

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthodontic Associates of Delaware Valley

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chadds Ford, PA
  • NPI 1336299007
  NPD
• Orthodontic Associates of Delaware Valley

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ridley Park, PA
  • NPI 1518020494
  NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1720240138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 PYLE RD",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178934",
            "telephone_number": "610-459-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PYLE RD",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178934",
            "telephone_number": "610-459-2545",
            "fax_number": "610-459-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dutton St",
            "address_purpose": "LOCATION",
            "city": "Ridley Park",
            "state": "PA",
            "postal_code": "190782308",
            "country_code": "US",
            "telephone_number": "610-521-2222",
            "fax_number": "610-521-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUTLAND",
        "first_name": "ALICIA",
        "middle_name": "PETROS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stoutlandandhayes@4mybraces.com",
            "affiliation": "N",
            "address_1": "3920 Pyle Rd",
            "city": "Chadds Ford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193178934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stoutlandandhayes@4mybraces.com",
            "affiliation": "N",
            "address_1": "101 Dutton St",
            "city": "Ridley Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190782308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Sperling, MD
• Sprouts Healthcare LLC
• State Line Health Care LLC
• Magdalena Wilson Stephey, M.S., CCC/SLP-L
• Roy B Stoller, D.O.
• Caleah Streater, LCSW
• Suburban Spine and Orthopedic Center
• Dari K Sweeton, LCSW
• Synergy Chiropractic Wellness
• TBM Ambulance Services

• Orthodontics and Dentofacial Orthopedics Dentistry in Chadds Ford, PA
• Providers in Chadds Ford, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.