Curtis T Stoddard, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1352 Issued in WY

Practice address

1719 Edinburgh St
Rawlins, WY 82301-4572

Phone

(307) 324-6200

Fax

(307) 324-6621

NPI assigned

Oct 5, 2006

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Curtis T. Stoddard, D.M.D., P.C.

  • General Practice Dentistry
  • Rawlins, WY
  • NPI 1124468319
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1104912070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 EDINBURGH ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823014572",
            "telephone_number": "307-324-6200",
            "fax_number": "307-324-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 EDINBURGH ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823014572",
            "telephone_number": "307-324-6200",
            "fax_number": "307-324-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "CURTIS",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5845",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4036",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807681000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Claire Spaay, P.T.
• Jessica Spenny, RN
• Spruce Medical Clinic
• Palur V. Sridharan, M.D.,F.A.C.S.,F.I.C.
• Debbie J Stevens, MSW
• Josephine Kennon Stratton, RN
• Jeffrey Sweet, DDS
• Andria M. Thayer
• Jessica Thayer
• Karleen K. Thompson

• General Practice Dentistry in Rawlins, WY
• Providers in Rawlins, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.