NPIMap

Organization Active NPI

Scott Gorden Stafford DDS PC

  • General Practice Dentistry
  • Bulverde, TX
National Provider Identifier
1285842674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18592 Issued in TX
Legal business name
SCOTT GORDEN STAFFORD DDS PC
Practice address
30695 North Highway 281
Bulverde, TX 78163
Phone
(830) 980-3381
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Gorden Stafford, D.D.S.
Title
President - Owner
Phone
(830) 980-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18592 TX Primary

Addresses

Primary practice location

30695 North Highway 281
Bulverde, TX 78163

Mailing address

13414 La Vista Dr
San Antonio, TX 78216-2205
Phone (830) 980-3381

Other names 1

  • Stafford Family Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Scott Gorden Stafford DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285842674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 LA VISTA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162205",
            "telephone_number": "830-980-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 NORTH HIGHWAY 281",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "78163",
            "telephone_number": "830-980-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GORDEN STAFFORD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GORDEN",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "830-980-3381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Family Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.