Charlotte Marie Stueve, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020021107 Issued in MO

Practice address

409 Vandiver Dr Ste 102
Columbia, MO 65202-3754

Phone

(573) 814-1694

NPI assigned

Apr 6, 2020

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Charlotte Marie Donaway Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Dentistry of the Shoals, PC

  • Dentist
  • Muscle Shoals, AL
  • NPI 1750782827
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1750910329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 CITATION DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024516",
            "telephone_number": "314-606-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-814-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEVE",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020021107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "DONAWAY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne Stuber-Skipper
• Renee C Stucky, PHD
• Kent E Studer, O. D.
• Paula R Stuebben, M.D.
• Lauren Stuecken
• Matthew Wayne Stueve, DO
• Kathryn Elizabeth Stukel, OTR/L
• Jeffery R Sturdivan, MSW, LCSW
• Morgan Elizabeth Stutts
• Derek Kaihao Shieh Su, MD

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.