Stop Eleven Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012272A Issued in IN

Legal business name

STOP ELEVEN DENTAL GROUP

Practice address

4950 E Stop 11 Rd
Ste a
Indianapolis, IN 46237-9100

Phone

(618) 248-2038

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

David Guilbeault, DDS

Title

Dentist/Owner

Phone

(618) 248-2038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1952788762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 E STOP 11 RD",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379100",
            "telephone_number": "618-248-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOP ELEVEN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "GUILBEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "618-248-2038",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig M Stoops, MD
• Merissa Yvonne Stoops, PA-C
• Thomas Kyle Stoops, MD
• Tiffany R Stoots, OTR/L, CHT
• Stop by Stop Medical Transportation LLC
• Kendra Marie Storer, N.P.
• Deidra Storey, LSW, LMHC
• John H Storey, MD
• Allyson Storie
• Danielle Rose Storie, PT, DPT

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.