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Dr. Robert Stout , DMD

Dentist - General Practice β€’ Ceres, CA

Active NPI 1699413351 Individual Practitioner Male Practitioner
Practice location in NPPES

1920 Memorial Dr
Ceres, CA 953071827

Call 2097224842 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1920 Memorial Dr

Ceres, CA 953071827

Telephone 2097224842
Organization at the Same NPPES Address or Phone
Stanislaus County Bhrs Facility NPI 1649303546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Stout has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Stout as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ceres and California

7 active clinicians are listed under Dentist - General Practice with a practice address in Ceres, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 109689

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CA 109689

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20240216004417

Enrollment State Jurisdiction

CA

PECOS Control ID

9830533892

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

38 listed
Dr. Shruti Agarwal , MD

Internal Medicine

NPI 1851909782

Doctor of Medicine (M.D.)

NPI 1659954402

Doctor of Dental Surgery

NPI 1366024838

Doctor of Podiatric Medicine

Dr. Manpreet Brar , DPM

Podiatrist - Primary Podiatric Medicine

NPI 1619117181

Doctor of Podiatric Medicine

Jennifer Breck , PA

Physician Assistant

NPI 1821742735

Physician Assistant

Marcio Correa , PA-C

Physician Assistant

NPI 1144523739

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2024

Dentist (license number reported to NPPES: CA 109689)

πŸ“
Updated Practice Location February 02, 2024

Registered at 1920 MEMORIAL DR, CERES, CA 953071827 (Tel: 2097224842)

πŸ“
Updated Business Mailing Address February 02, 2024

Registered at 737 W CHILDS AVE, MERCED, CA 953416805 (Tel: 2097224842)

πŸ‘€
Provider Name / Credentials Updated February 02, 2024

Recorded as ROBERT STOUT, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2024

Dentist (license number reported to NPPES: CA 109689)

βœ…
NPI Profile Active May 23, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2022

Registered at 22717 S ELLSWORTH RD STE B102, QUEEN CREEK, AZ 851427575 (Tel: 4808889596)

πŸ“
Business Mailing Address (Initial Record) May 23, 2022

Registered at 11102 E VICTORIA ST, CHANDLER, AZ 852487811 (Tel: 2096025900)

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2022

Recorded as ROBERT STOUT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2022

Dentist (license number reported to NPPES: AZ D011365)

🟒
Initial NPI Registration & Enumeration May 23, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699413351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2022
Last Update: April 05, 2024
Sole Proprietor: No

Other Dentist - General Practices in Ceres

Mailing Address

737 W Childs Ave

Merced, CA 953416805

Phone: 2097224842

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.