Geoff Stuart, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9646 Issued in WA

Practice address

1545 Business One Cir
Walla Walla, WA 99362-9526

Phone

(509) 525-4662

Fax

(509) 525-0513

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 20, 2014 through Oct 20, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ronald J. Will, D.D.S., PLLC

  • General Practice Dentistry
  • Walla Walla, WA
  • NPI 1619058393
  NPD (past)
• Stuart Dental LLC

  • Dentist
  • Walla Walla, WA
  • NPI 1023379633
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861573578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BUSINESS ONE CIR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629526",
            "telephone_number": "509-525-4662",
            "fax_number": "509-525-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BUSINESS ONE CIR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629526",
            "telephone_number": "509-525-4662",
            "fax_number": "509-525-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "GEOFF",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Stough, MSW, PHD
• Mathias M Stroemel, DO
• Barbara Karen Struck, OTR/L
• Aleksandra Strugalska, DPT
• Stuart Dental LLC
• Student Health Options
• Jesse Styner
• Suasor Mentis, PLLC
• Derek E Sucharda, PAC
• Kyle Sullivan, DMD

• General Practice Dentistry in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.