Active NPI
Roger L. Stuart
- General Practice Dentistry
- Vancouver, WA
National Provider Identifier
1811214307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4261
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dental Hygienist
- Vancouver, WA
- NPI 1336392703
-
- General Practice Dentistry
- Vancouver, WA
- NPI 1639252471
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.