Stomadent, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STOMADENT, LLC

Practice address

2330 N 75TH Ave Ste 112
Phoenix, AZ 85035-1221

Phone

(623) 849-0477

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Thomas Simcox

Title

Director, Revenue Cycle Management

Phone

(201) 400-1481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1538039961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N 75TH AVE STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351221",
            "telephone_number": "623-849-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N 75TH AVE STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351221",
            "telephone_number": "623-849-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOMADENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMCOX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "201-400-1481"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.