Individual provider Active NPI

Andrew Joseph Stoy, D.D.S. , M.S.

  • General Practice Dentistry
  • Davis Monthan Afb, AZ
National Provider Identifier
1518093616
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024220 Issued in IL
Practice address
4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402
Phone
(520) 228-2605
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024220 IL Primary

Addresses

Primary practice location

4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402

Mailing address

4175 S Alamo Ave
Davis Monthan Afb, AZ 85707-4402

Other practice location 1

280 David L Goldfein St
Holloman AFB, NM 88330-8273
Phone (575) 572-8092

Other practice location 2

Unit 6180
Apo, AE 09604-6180
Phone (314) 632-5241

Other practice location 3

15301 Warren Shingle Rd
Beale AFB, CA 95903-1907
Phone (530) 634-4781

Other practice location 4

RAF Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09464-5115
Phone (314) 226-8875

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019024220ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1518093616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "857074402",
            "telephone_number": "520-228-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 David L Goldfein St",
            "address_purpose": "LOCATION",
            "city": "Holloman AFB",
            "state": "NM",
            "postal_code": "883308273",
            "country_code": "US",
            "telephone_number": "575-572-8092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Unit 6180",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "096046180",
            "country_code": "US",
            "telephone_number": "314-632-5241",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "15301 Warren Shingle Rd",
            "address_purpose": "LOCATION",
            "city": "Beale AFB",
            "state": "CA",
            "postal_code": "959031907",
            "country_code": "US",
            "telephone_number": "530-634-4781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "RAF Lakenheath 48 MDG/SGHC",
            "address_2": "Unit 5115",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094645115",
            "country_code": "US",
            "telephone_number": "314-226-8875",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "STOY",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S. , M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis Monthan Afb, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.