Active NPI
Michael James Stoor, DDS
- Dentist
- Mesa, AZ
National Provider Identifier
1497958870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G008273
- Practice address
- 407 N Lindsay Rd
Suite 101
Mesa, AZ 85213-7710 - Phone
- (480) 218-9720
- Fax
- (480) 218-9275
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | G008273 | AZ | Primary |
Addresses
Primary practice location
407 N Lindsay Rd
Suite 101
Mesa, AZ 85213-7710
Mailing address
407 N Lindsay Rd
Suite 101
Mesa, AZ 85213-7710
Phone (480) 218-9720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650051 | Other | AZ | AAHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G008273 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1497958870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N LINDSAY RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852137710",
"telephone_number": "480-218-9720",
"fax_number": "480-218-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N LINDSAY RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852137710",
"telephone_number": "480-218-9720",
"fax_number": "480-218-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOOR",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "G008273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAHCCCS",
"identifier": "650051",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.