Susan Stakiw, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012642 Issued in AZ

Practice address

8595 E Bell Rd # D-100
Scottsdale, AZ 85260-1306

Phone

(480) 538-5210

NPI assigned

Mar 12, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1679420368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD # D-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-538-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD # D-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-538-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 E Cave Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cave Creek",
            "state": "AZ",
            "postal_code": "853314306",
            "country_code": "US",
            "telephone_number": "480-595-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAKIW",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.