Scott Stapley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8291219 Issued in UT

Practice address

3940 N Traverse Mountain Blvd Ste 102
Lehi, UT 84043-4914

Phone

(801) 852-8211

Fax

(801) 901-1923

NPI assigned

Apr 9, 2007

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Traverse Mountain Family Dental LLC

  • Dentist
  • Lehi, UT
  • NPI 1467880716
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1114040854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N WHITE MOUNTAIN RD",
            "address_2": "SUITE #D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015260",
            "telephone_number": "928-367-2776",
            "fax_number": "928-367-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 N TRAVERSE MOUNTAIN BLVD STE 102",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434914",
            "telephone_number": "801-852-8211",
            "fax_number": "801-901-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLEY",
        "first_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8291219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lehi, UT
• Providers in Lehi, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.