NPIMap

Organization Active NPI

Eric Stavoe, DDS, PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1740577360
Registry record updated Jul 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3421 Issued in AZ
Legal business name
ERIC STAVOE, DDS, PLLC
Practice address
15640 N 7TH St Ste A4
Phoenix, AZ 85022-3520
Phone
(602) 843-6000
NPI assigned
Jul 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2011

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

Authorized official

Name
Dr. Eric Stavoe, DDS
Title
Owner
Phone
(602) 843-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3421 AZ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3360 AZ

Addresses

Primary practice location

15640 N 7TH St Ste A4
Phoenix, AZ 85022-3520

Mailing address

15640 N 7TH St Ste A4
Phoenix, AZ 85022-3520
Phone (602) 843-6000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309651200000",
    "number": "1740577360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST STE A4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223520",
            "telephone_number": "602-843-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST STE A4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223520",
            "telephone_number": "602-843-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC STAVOE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-03",
        "last_updated": "2011-07-03",
        "status": "A",
        "authorized_official_last_name": "STAVOE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-843-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3421",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2011; 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.