Scott Stauffer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009787 Issued in AZ

Practice address

36275 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7320

Phone

(480) 870-4499

NPI assigned

Jun 22, 2017

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stauffer Whiting Dental, LLC

  • Dental Clinic/Center
  • San Tan Valley, AZ
  • NPI 1164075602
  NPD Authorized official
• CLMT Enterprises, PLLC

  dba Anytime Dental

  • General Practice Dentistry
  • San Tan Valley, AZ
  • NPI 1093652075
  NPD (past)
• Johnson Ranch Family Dentistry

  • General Practice Dentistry
  • Queen Creek, AZ
  • NPI 1427230770
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1659891430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36275 N GANTZEL RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36275 N GANTZEL RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407320",
            "telephone_number": "480-870-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4827 E Southern Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062780",
            "country_code": "US",
            "telephone_number": "480-870-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "SCOTT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springs of Hope Care Services LLC (Springs of Hope Behavioral Home)
• Stan Kidtastic Dental LLC
• Kraig Scott Stanley, L/COTA
• Jennifer Stathopoulos, APRN-RNP
• Stauffer Whiting Dental, LLC
• Staythere Home Care LLC
• Jill Stewart
• Preston Strebeck, PMHNP
• Hayley Stuebs
• Tara Lynn Sturdavant, LMT

• Dentist in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.