Active NPI
Lauren Elizabeth Stump, DDS
- Dentist
- Ruckersville, VA
National Provider Identifier
1982917076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413528
- Practice address
- 140 Stoneridge Dr
Suite 200
Ruckersville, VA 22968-3096 - Phone
- (317) 379-0550
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6572-015 | WI | |
| Dentist | 122300000X | 0401413528 | VA | Primary |
Addresses
Primary practice location
140 Stoneridge Dr
Suite 200
Ruckersville, VA 22968-3096
Mailing address
140 Stoneridge Dr
Suite 200
Ruckersville, VA 22968-3096
Phone (317) 379-0550
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413528 | VA | MD | Dentist |
| 6572-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1982917076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 STONERIDGE DR",
"address_2": "SUITE 200",
"city": "RUCKERSVILLE",
"state": "VA",
"postal_code": "229683096",
"telephone_number": "317-379-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 STONERIDGE DR",
"address_2": "SUITE 200",
"city": "RUCKERSVILLE",
"state": "VA",
"postal_code": "229683096",
"telephone_number": "317-379-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6572-015",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruckersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.