Michael E. Stout, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA0401007125 Issued in VA

Legal business name

MICHAEL E. STOUT, DDS PC

Practice address

30 Stoneridge Dr
Suite 102
Waynesboro, VA 22980-6522

Phone

(540) 949-8053

Fax

(540) 943-2505

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stout, DDSNPI 1235184995

Title

Owner

Phone

(540) 949-8053

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Edward Stout, DDS

  • General Practice Dentistry
  • Waynesboro, VA
  • NPI 1235184995
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1891978029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STONERIDGE DR",
            "address_2": "SUITE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806522",
            "telephone_number": "540-949-8053",
            "fax_number": "540-943-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STONERIDGE DR",
            "address_2": "SUITE 102",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806522",
            "telephone_number": "540-949-8053",
            "fax_number": "540-943-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. STOUT, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-949-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA0401007125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801114",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katy Klein Meinbresse, FNP-BC
• Sivan Barkat Meliza, SLP
• Charles Alan Melton, D MIN LPC
• Mending Counseling Center for Loss and Life Transition, LLC
• Rebecca Metcalf, OTD, OTR/L
• Michael Stout DDS PC
• Michael T Cunningham, DDS, PC
• Mid-Atlantic Recovery Center Shenandoah LLC
• Amanda Thacker Mikolay, DNP, FNP-C
• Houston Marion Miller, DDS

• General Practice Dentistry in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.