Active NPI
Adam Leonard Stout, DMD
- Endodontics
- Las Vegas, NV
National Provider Identifier
1891924981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- S7-112
- Practice address
- 7120 Smoke Ranch Rd
Las Vegas, NV 89128-3157 - Phone
- (702) 798-8409
- Fax
- (702) 798-7203
- NPI assigned
- Jul 9, 2009
- Last updated
- Jan 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | S7-112 | NV | Primary |
Addresses
Primary practice location
7120 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Mailing address
1307 Latigo Dr
Henderson, NV 89002-3650
Phone (928) 460-2654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10219 | FL | MD | Chiropractor |
| S7-112 | NV | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Medical & Rehab Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tampa, FL
- NPI 1811200587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1891924981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 LATIGO DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890023650",
"telephone_number": "928-460-2654",
"fax_number": "928-460-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 SMOKE RANCH RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891283157",
"telephone_number": "702-798-8409",
"fax_number": "702-798-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "ADAM",
"middle_name": "LEONARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-09",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NV",
"license": "S7-112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.