Active NPI
William Cyrus Stentz Jr., DDS
- Periodontics
- Luke AFB, AZ
National Provider Identifier
1609971274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3893
- Practice address
- 7219 N Litchfield Rd
Luke AFB, AZ 85309-1529 - Phone
- (623) 856-3125
- Fax
- (623) 856-4892
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3893 | LA | Primary |
Addresses
Primary practice location
7219 N Litchfield Rd
Luke AFB, AZ 85309-1529
Mailing address
14425 W Monte Vista Rd
Goodyear, AZ 85338-2331
Phone (623) 266-7197
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 |
|---|---|---|---|
| 3893 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609971274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14425 W MONTE VISTA RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853382331",
"telephone_number": "623-266-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7219 N LITCHFIELD RD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091529",
"telephone_number": "623-856-3125",
"fax_number": "623-856-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STENTZ",
"first_name": "WILLIAM",
"middle_name": "CYRUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "3893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luke AFB, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.