What is Derrik Stark's NPI number?

Derrik Stark's National Provider Identifier (NPI) is 1346574316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derrik Stark's specialty?

Derrik Stark is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Derrik Stark located?

Derrik Stark's practice location on file with NPPES is 820 Ocean Beach Hwy, Longview, WA 98632-4080.

What is Derrik Stark's phone number?

The practice phone number listed in the NPPES registry for Derrik Stark is (360) 577-0566.

Is Derrik Stark's NPI active?

Yes — Derrik Stark's NPI (1346574316) is active in the NPPES registry as of the last update on 2009-09-23.

IndividualActive

Derrik Stark, DDS

NPI 1346574316 · General Practice Dentistry · Longview, WA

Derrik Stark, DDS is a General Practice Dentistry provider in Longview, WA (NPI 1346574316).

Provider details

NPI number: 1346574316
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: DE 60094586 (WA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense DE 60094586 (WA)
Dental Providers

Profile Score

Detailed profile(85/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

820 Ocean Beach Hwy

Suite 110

Longview, WA 98632-4080

Phone: (360) 577-0566

Street-level locationGet directions

More WA providers

Mailing address