Scott Gordon Stafford, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18592 Issued in TX

Practice address

30695 US Highway 281 N
Bulverde, TX 78163-3222

Phone

(830) 980-3381

Fax

(830) 438-3765

NPI assigned

Oct 24, 2008

Last updated

Oct 24, 2008By the provider in NPPES

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: sstafford51376@direct.utmsa.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott Gorden Stafford DDS PC

  • General Practice Dentistry
  • Bulverde, TX
  • NPI 1285842674
  Authorized official Same address or phone

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1871746628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30695 US HIGHWAY 281 N",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633222",
            "telephone_number": "830-980-3381",
            "fax_number": "830-438-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 US HIGHWAY 281 N",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633222",
            "telephone_number": "830-980-3381",
            "fax_number": "830-438-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SCOTT",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Patrice Shea, OTR
• Gordon Wayne Sixty, PH.D.
• SJRC Texas, Inc.
• Canyon Smith
• Smithson Valley Counseling Center, Inc.
• Alexandria Steinmetz
• Kierstn Jane Stolhandske, DC
• Leslie F Stork, M.D.
• James David Strader, D O
• Melissa Streiff

• General Practice Dentistry in Bulverde, TX
• Providers in Bulverde, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.