Curtis T. Stoddard, D.M.D., P.C.

Organization Active NPI General Practice Dentistry · Rawlins, WY

NPI 1124468319 · NPPES record last updated Jul 2, 2013

Key facts

NPI
1124468319
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
1352 (WY)
Legal business name
CURTIS T. STODDARD, D.M.D., P.C.
Practice address
1719 Edinburgh St
Rawlins, WY 82301-4572
Phone
(307) 324-6200
NPI assigned
Jul 2, 2013
Organization subpart
No

Authorized official

Name
Dr. Curtis Trent Stoddard, D.M.D. NPI 1104912070
Title
President
Phone
(208) 360-5991

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1719 Edinburgh St
Rawlins, WY 82301
Phone (307) 324-2679

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 1352 WY Yes

Addresses

Primary practice location

1719 Edinburgh St
Rawlins, WY 82301-4572

Mailing address

1719 Edinburgh St
Rawlins, WY 82301-4572
Phone (307) 324-6200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2013.

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1124468319",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS T. STODDARD, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-360-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

All providers in Rawlins, WY · General Practice Dentistry in Wyoming

Sources for this page

Verify at the official NPI Registry.