Stacey Marie Allaart, D.D.S, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4572 Issued in AZ

Practice address

4530 E Ray Rd
Suite 180
Phoenix, AZ 85044-6094

Phone

(480) 598-5510

Fax

(480) 598-5474

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacey Marie Zittel III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285766659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-598-5510",
            "fax_number": "480-598-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-598-5510",
            "fax_number": "480-598-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAART",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "ZITTEL",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "D.D.S., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• All Valley Med Trans LLC
• All Valley Nursing LLC
• All Ways Homecare LLC
• All Wellness LLC
• Abo All
• Betsy Allaire
• Allan D. Johnson DDS, PC
• Allan M. Wachter, M.D., P.C.
• Carla Allan, PHD
• Carrie Allan, PHYSICAL THERAPIST

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.