Caleb Edward Stott, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D5494 Issued in ID

Practice address

467 S. Rivershore Lane
Eagle, ID 83616-4978

Phone

(208) 792-6473

Fax

(208) 975-7041

NPI assigned

Jun 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1962882548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 S. RIVERSHORE LANE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164978",
            "telephone_number": "208-792-6473",
            "fax_number": "208-975-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 S. RIVERSHORE LANE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164978",
            "telephone_number": "208-792-6473",
            "fax_number": "208-975-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTT",
        "first_name": "CALEB",
        "middle_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8014319-9921",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D5494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby L.R. Stoddard, NP-C
• Stoehr LMFT, Inc.
• Blue Celine Stoehr, MA
• Bryon Keith Stolle II, LMT
• Finnegan Stoner
• Danielle Stout
• Dan Streeby, DDS
• Irina Strelyuk, NMD
• Patrick Norman Stromer, D.C.
• Casey Strunk, PT

• Dentist in Eagle, ID
• Providers in Eagle, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.