Active NPI
Jay R. Stucky, DDS PA
- General Practice Dentistry
- Hutchinson, KS
National Provider Identifier
1750419032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6855
- Legal business name
- JAY R. STUCKY, DDS PA
- Practice address
- 3005 Sierra Pkwy
Hutchinson, KS 67502-2972 - Phone
- (620) 663-2225
- NPI assigned
- Mar 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay R Stucky, DDS
- Title
- Owner
- Phone
- (620) 663-9119
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6855 | KS | Primary |
Addresses
Primary practice location
3005 Sierra Pkwy
Hutchinson, KS 67502-2972
Mailing address
3005 Sierra Pkwy
Hutchinson, KS 67502-2972
Phone (620) 663-2225
National Provider Directory
National Provider DirectoryLocations
3005 Sierra Pkwy
Hutchinson, KS 67502
Phone (620) 663-2225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Hutchinson, KS
- NPI 1114021508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750419032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 SIERRA PKWY",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675022972",
"telephone_number": "620-663-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 SIERRA PKWY",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675022972",
"telephone_number": "620-663-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY R. STUCKY, DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STUCKY",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-663-9119",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.