DR. H CLARK STURDIVANT DDS
NPI 1629020649
Dentist - General Practice in Port Townsend, WA
About Dr. H Clark Sturdivant Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. H CLARK STURDIVANT DDS (NPI 1629020649) is an individual general practice provider in Port Townsend, Washington, licensed in Washington (7974) and active in the NPI registry since May 2006. He has opted out of Medicare through June 12, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. H Clark Sturdivant Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2017 through June 12, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is H Sturdivant's NPI number?
The NPI number for H Sturdivant is 1629020649. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is H Sturdivant located?
H Sturdivant practices at 608 Polk St, Port Townsend, WA 98368. The listed phone number is (360) 385-0567.
What is H Sturdivant's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is H Sturdivant enrolled in Medicare?
No. H Sturdivant has opted out of Medicare through June 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for H Sturdivant was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. H Clark Sturdivant, DDS · NPI 1629020649
General Practice provider in Port Townsend, Washington. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1629020649 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7974 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 608 POLK ST, Port Townsend, WA 98368-6532
- **Phone:** (360) 385-0567
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 12, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 22, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1629020649) · Data from the CMS NPPES public registry.