Stonehaven Dental - Draper, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STONEHAVEN DENTAL - DRAPER, LLC

Practice address

177 W 12300 S
Draper, UT 84020-9816

Phone

(801) 766-3600

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Steve James

Title

Cfo

Phone

(502) 254-8504

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Matthew B Shuldberg, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lehi, UT
  • NPI 1114126836
  NPD (past)
• Nathan Blake Tobler, DMD

  • Dentist
  • Lehi, UT
  • NPI 1336309368
  NPD (past)
• Tyson Perrero, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1861629941
  NPD (past)

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1326459348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-254-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209816",
            "telephone_number": "801-766-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHAVEN DENTAL - DRAPER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Stoddard
• Lauren Domenica Stollman, PT, DPT
• Sebastian Stoltzfus, PT DPT
• Elizabeth Stone
• Kerrine Stone
• Joseph Storey
• Marilee Storm
• Erin Storrs, MSN, APRN, FNP-C
• Joshua Stott
• Kennedy Stout

• Dental Clinic/Center in Draper, UT
• Providers in Draper, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.