NPIMap

Organization Active NPI

Stubbs DDS Inc.

  • General Practice Dentistry
  • Pearisburg, VA
National Provider Identifier
1790719656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006917 Issued in VA
Legal business name
STUBBS DDS INC.
Practice address
300 Tazewell St
Pearisburg, VA 24134-1730
Phone
(540) 921-3323
NPI assigned
Jul 10, 2006
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
Dr. Paul Coleman Stubbs, DDSNPI 1114945367
Title
President
Phone
(540) 921-3323

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 0401006917 VA Primary

Addresses

Primary practice location

300 Tazewell St
Pearisburg, VA 24134-1730

Mailing address

300 Tazewell St
P.O. Box F
Pearisburg, VA 24134-1730
Phone (540) 921-3323

National Provider Directory

National Provider Directory

Locations

300 Tazewell St
Pearisburg, VA 24134
Phone (540) 921-3323

Practitioners & affiliated clinicians

Practitioners 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790719656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAZEWELL ST",
            "address_2": "P.O. BOX F",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341730",
            "telephone_number": "540-921-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAZEWELL ST",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341730",
            "telephone_number": "540-921-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUBBS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-921-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearisburg, VA

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.