Active NPI
Angelina Marie Stotelmyre, RDH
- Dental Hygienist
- Scottsdale, AZ
National Provider Identifier
1912676263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8059
- Practice address
- 10005 E Osborn Rd BLDG 61
Scottsdale, AZ 85256-4019 - Phone
- (480) 946-9103
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 8059 | AZ | Primary |
Addresses
Primary practice location
10005 E Osborn Rd BLDG 61
Scottsdale, AZ 85256-4019
Mailing address
368 W Honey Locust Ave
Queen Creek, AZ 85140-7983
Phone (951) 870-3224
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 |
|---|---|---|---|
| 8059 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salt River Pima-Maricopa Indian Community | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Scottsdale, AZ
- NPI 1790210755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1912676263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 W HONEY LOCUST AVE",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851407983",
"telephone_number": "951-870-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 E OSBORN RD BLDG 61",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852564019",
"telephone_number": "480-946-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTELMYRE",
"first_name": "ANGELINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "8059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.