Active NPI
Stuart David Amick, DDS
- General Practice Dentistry
- Remington, IN
National Provider Identifier
1750909297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013426A
- Practice address
- 510 Wellness Way
Remington, IN 47977-8883 - Phone
- (219) 261-2217
- NPI assigned
- Jul 10, 2020
- 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 | 12013426A | IN | Primary |
Addresses
Primary practice location
510 Wellness Way
Remington, IN 47977-8883
Mailing address
510 Wellness Way
Remington, IN 47977-8883
Phone (219) 261-2217
Other practice location 1
310 E Lincoln St
Kentland, IN 47951-1135
Phone (219) 474-5059
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 |
|---|---|---|---|
| 12013426A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentland Family Dentistry | 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 and National Provider Directory roles.
-
- Dentist
- Kentland, IN
- NPI 1366854143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1750909297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 WELLNESS WAY",
"city": "REMINGTON",
"state": "IN",
"postal_code": "479778883",
"telephone_number": "219-261-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WELLNESS WAY",
"city": "REMINGTON",
"state": "IN",
"postal_code": "479778883",
"telephone_number": "219-261-2217"
}
],
"practiceLocations": [
{
"address_1": "310 E Lincoln St",
"address_purpose": "LOCATION",
"city": "Kentland",
"state": "IN",
"postal_code": "479511135",
"country_code": "US",
"telephone_number": "219-474-5059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMICK",
"first_name": "STUART",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013426A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Remington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.