Individual provider Active NPI

Scott Coleman Stoller, DDS

  • General Practice Dentistry
  • West Chester, OH
National Provider Identifier
1811084825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30 . 019752 Issued in OH
Practice address
7237 Cincinnati Dayton Rd
Suite103
West Chester, OH 45069-1773
Phone
(513) 759-9090
Fax
(513) 759-9095
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30 . 019752 OH Primary

Addresses

Primary practice location

7237 Cincinnati Dayton Rd
Suite103
West Chester, OH 45069-1773

Mailing address

6554 Liberty Ridge Dr
Liberty TWP, OH 45011-8452
Phone (513) 755-2273

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

LicenseStateTypeSpecialty
30 . 019752OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811084825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 LIBERTY RIDGE DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450118452",
            "telephone_number": "513-755-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 CINCINNATI DAYTON RD",
            "address_2": "SUITE103",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691773",
            "telephone_number": "513-759-9090",
            "fax_number": "513-759-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "SCOTT",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30 . 019752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.