Organization Active NPI

Roger L. Stuart

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1811214307
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4261 Issued in WA
Legal business name
ROGER L. STUART
Practice address
14313 NE 20TH Ave
Suite a-101
Vancouver, WA 98686-1487
Phone
(360) 574-3985
Fax
(360) 574-0452
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Dr. Roger Leland Stuart, D.D.S.
Title
Dentist/Owner
Phone
(360) 574-3985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4261 WA Primary

Addresses

Primary practice location

14313 NE 20TH Ave
Suite a-101
Vancouver, WA 98686-1487

Mailing address

14313 NE 20TH Ave
Suite a-101
Vancouver, WA 98686-1487
Phone (360) 574-3985

National Provider Directory

National Provider Directory

Locations

14313 NE 20th Ave
Ste A101
Vancouver, WA 98686
Phone (360) 574-3985

Practitioners & affiliated clinicians

Practitioners 2

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": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1811214307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14313 NE 20TH AVE",
            "address_2": "SUITE A-101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861487",
            "telephone_number": "360-574-3985",
            "fax_number": "360-574-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14313 NE 20TH AVE",
            "address_2": "SUITE A-101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861487",
            "telephone_number": "360-574-3985",
            "fax_number": "360-574-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. STUART",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-574-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.