Active NPI
Scott Thomas Sutton, D.D.S
- General Practice Dentistry
- Maricopa, AZ
National Provider Identifier
1639393176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4762
- Practice address
- 20046 N John Wayne Pkwy
Suite #105
Maricopa, AZ 85239 - Phone
- (520) 316-6100
- Fax
- (520) 568-7312
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D4762 | AZ | Primary |
Addresses
Primary practice location
20046 N John Wayne Pkwy
Suite #105
Maricopa, AZ 85239
Mailing address
30012 N Cave Creek Rd
Suite #100
Cave Creek, AZ 85331-5833
Phone (480) 488-0686
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 |
|---|---|---|---|
| D4762 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tatum Creek Family Dentistry LLC | Past | Accepting new patients | |
| Dentistry at Maricopa, LLC | General Practice | Past | Accepting new patients |
| Maricopa Family Dental LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Maricopa, AZ
- NPI 1578020988
-
- General Practice Dentistry
- Maricopa, AZ
- NPI 1831731587
-
- Dentist
- Cave Creek, AZ
- NPI 1679867162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639393176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30012 N CAVE CREEK RD",
"address_2": "SUITE #100",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853315833",
"telephone_number": "480-488-0686",
"fax_number": "480-488-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20046 N JOHN WAYNE PKWY",
"address_2": "SUITE #105",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "85239",
"telephone_number": "520-316-6100",
"fax_number": "520-568-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D4762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
- Sun Life Family Health Center Inc (Sun Life Family Health Center-Maricopa)
- Sun Life Family Health Center, Inc. (Sun Life Family Health Center)
- Sun Life Family Health Center, Inc.
- Sun Life Family Health Center, Inc.
- Super Smiles Maricopa PLLC
- Swan Therapy Group LLC
- Sweet Serenity Behavioral Health and Life Coaching LLC
- Amanda Swiniuch
- Lori Michelle Swink, RN
- T&T Home Health Care Agency
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.