Boyd Luwayne Stout, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

251034007 Issued in WA

Practice address

11 Hospital Way
Brewster, WA 98812-0006

Phone

(509) 689-2557

Fax

(509) 689-3179

NPI assigned

Mar 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adrian Tomarere Dental

  • General Practice Dentistry
  • Brewster, WA
  • NPI 1780131342
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881661049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "address_2": "11 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120006",
            "telephone_number": "509-689-2557",
            "fax_number": "509-689-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120006",
            "telephone_number": "509-689-2557",
            "fax_number": "509-689-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "BOYD",
        "middle_name": "LUWAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "251034007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Lee Shrable, L.M.P.
• Tracy Dean Shrable, D.C.
• Jordan A Smith, OT
• Nicole Smith, RN
• Lisa Diane Sonneman, P.T.
• Cierra Sullivan
• Gordon Chris Tingle, LMT
• Jason R Tucker, DDS
• James G Wallace Jr., M.D.
• Brandon Watson, O.D.

• General Practice Dentistry in Brewster, WA
• Providers in Brewster, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.