Active NPI
Eldon Dean Stott, D.D.S.
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1760545461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4327
- Practice address
- 857 E Warner Rd
Suite 103
Gilbert, AZ 85296-3074 - Phone
- (480) 821-4868
- Fax
- (480) 821-4724
- NPI assigned
- Dec 18, 2006
- 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 | 4327 | AZ | Primary |
Addresses
Primary practice location
857 E Warner Rd
Suite 103
Gilbert, AZ 85296-3074
Mailing address
857 E Warner Rd
Suite 103
Gilbert, AZ 85296-3074
Phone (480) 821-4868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4327 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1760545461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 E WARNER RD",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963074",
"telephone_number": "480-821-4868",
"fax_number": "480-821-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 E WARNER RD",
"address_2": "SUITE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963074",
"telephone_number": "480-821-4868",
"fax_number": "480-821-4724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTT",
"first_name": "ELDON",
"middle_name": "DEAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.