Active NPI
Michael Stanley, DMD
- Dentist
- Chandler, AZ
National Provider Identifier
1730758368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011056
- Practice address
- 975 E Riggs Rd Ste 8
Chandler, AZ 85249-4260 - Phone
- (480) 630-9487
- NPI assigned
- Jun 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D011056 | AZ | Primary |
Addresses
Primary practice location
975 E Riggs Rd Ste 8
Chandler, AZ 85249-4260
Mailing address
19820 N 13TH Ave Unit 282
Phoenix, AZ 85027-4319
Phone (602) 819-3379
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 |
|---|---|---|---|
| D011056 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1730758368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19820 N 13TH AVE UNIT 282",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274319",
"telephone_number": "602-819-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E RIGGS RD STE 8",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852494260",
"telephone_number": "480-630-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.