NPIMap

Organization Active NPI

Stott Family & Cosmetic Dentistry PLLC

  • Dental Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1114581659
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STOTT FAMILY & COSMETIC DENTISTRY PLLC
Practice address
857 E Warner Rd Ste 103
Gilbert, AZ 85296-3076
Phone
(480) 821-4868
Fax
(480) 821-4724
NPI assigned
Apr 30, 2019
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Dr. Eldon Dean Stott, DDSNPI 1760545461
Title
Owner
Phone
(480) 821-4868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

857 E Warner Rd Ste 103
Gilbert, AZ 85296-3076

Mailing address

857 E Warner Rd Ste 103
Gilbert, AZ 85296-3076
Phone (480) 821-4868

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stottdental@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1114581659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E WARNER RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963076",
            "telephone_number": "480-821-4868",
            "fax_number": "480-821-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 E WARNER RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963076",
            "telephone_number": "480-821-4868",
            "fax_number": "480-821-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOTT FAMILY & COSMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "STOTT",
        "authorized_official_first_name": "ELDON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-821-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stottdental@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "857 E Warner Rd Ste 103",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852963076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.