NPIMap

Organization Active NPI

Stauffer Whiting Dental, LLC

  • Dental Clinic/Center
  • San Tan Valley, AZ
National Provider Identifier
1164075602
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STAUFFER WHITING DENTAL, LLC
Practice address
36275 N Gantzel Rd Ste 100
San Tan Valley, AZ 85140-7319
Phone
(480) 781-4999
NPI assigned
Jul 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Scott Stauffer, D.M.D.NPI 1659891430
Title
Member
Phone
(480) 200-0688

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

Specialties & licenses 1

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

Addresses

Primary practice location

36275 N Gantzel Rd Ste 100
San Tan Valley, AZ 85140-7319

Mailing address

36275 N Gantzel Rd Ste 100
San Tan Valley, AZ 85140-7319
Phone (480) 781-4999

National Provider Directory

National Provider Directory

Locations

36275 N Gantzel Rd
Ste 100
San Tan Valley, AZ 85140
Phone (480) 781-4999

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1164075602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36275 N GANTZEL RD STE 100",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407319",
            "telephone_number": "480-781-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36275 N GANTZEL RD STE 100",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407319",
            "telephone_number": "480-781-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUFFER WHITING DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-200-0688",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.