Individual provider Active NPI

Mark R Dundas, DDS

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1013128826
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3085 Issued in AZ
Practice address
8515 E San Benito Dr
Scottsdale, AZ 85258-2410
Phone
(480) 483-0973
NPI assigned
May 24, 2007
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3085 AZ Primary

Addresses

Primary practice location

8515 E San Benito Dr
Scottsdale, AZ 85258-2410

Mailing address

8515 E San Benito Dr
Scottsdale, AZ 85258-2410
Phone (480) 483-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000101 AZ Order and Referring Only - DentistPractitioner - Dentist 8325344096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3085AZMDDentist

Networks

  • NM HMO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1013128826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 E SAN BENITO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582410",
            "telephone_number": "480-483-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 E SAN BENITO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582410",
            "telephone_number": "480-483-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDAS",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.