Individual provider Active NPI

Steven Huntsman, DDS

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1093933269
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9702 Issued in AZ
Practice address
2630 W 3500 S Ste C
West Valley City, UT 84119-3113
Phone
(801) 542-0126
Fax
(801) 987-3251
NPI assigned
Apr 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9702 AZ Primary

Addresses

Primary practice location

2630 W 3500 S Ste C
West Valley City, UT 84119-3113

Mailing address

2630 W 3500 S Ste C
West Valley City, UT 84119-3113
Phone (801) 542-0126

Other practice location 1

6920 E Shea Blvd Ste 101
Scottsdale, AZ 85254-6185
Phone (480) 991-3244

Other practice location 2

1702 Pat Booker Rd
Universal City, TX 78148-3435
Phone (210) 658-7511

Other practice location 3

9145 W Thunderbird Rd Ste 105
Peoria, AZ 85381-4820
Phone (623) 979-7477

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19064TXMDProfessional Counselor
9702AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Dental General Practice Past Accepting new patients
Ameen DDS LLC PastSince Nov 10, 2024 Accepting new patients
Network Provider Associates, P.C. General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093933269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W 3500 S STE C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193113",
            "telephone_number": "801-542-0126",
            "fax_number": "801-987-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W 3500 S STE C",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193113",
            "telephone_number": "801-542-0126",
            "fax_number": "801-987-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 E Shea Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546185",
            "country_code": "US",
            "telephone_number": "480-991-3244",
            "fax_number": "480-922-9253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1702 Pat Booker Rd",
            "address_purpose": "LOCATION",
            "city": "Universal City",
            "state": "TX",
            "postal_code": "781483435",
            "country_code": "US",
            "telephone_number": "210-658-7511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9145 W Thunderbird Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814820",
            "country_code": "US",
            "telephone_number": "623-979-7477",
            "fax_number": "623-979-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.