Active NPI
Stanford Ernest Vaterlaus, D.D.S.
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1497728992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3249
- Practice address
- 7578 N la Cholla Blvd
Tucson, AZ 85741-2307 - Phone
- (520) 742-1991
- Fax
- (520) 742-1992
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3249 | AZ | Primary |
Addresses
Primary practice location
7578 N la Cholla Blvd
Tucson, AZ 85741-2307
Mailing address
7578 N la Cholla Blvd
Tucson, AZ 85741-2307
Phone (520) 742-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 22, 2015 through Dec 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3249 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497728992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7578 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412307",
"telephone_number": "520-742-1991",
"fax_number": "520-742-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7578 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412307",
"telephone_number": "520-742-1991",
"fax_number": "520-742-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATERLAUS",
"first_name": "STANFORD",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "3249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.