Organization Active NPI

Jay R. Stucky, DDS PA

  • General Practice Dentistry
  • Hutchinson, KS
National Provider Identifier
1750419032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6855 Issued in KS
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jay R Stucky, DDSNPI 1114021508
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.