Active NPI
Prime Time Dental Inc
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1013942689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PRIME TIME DENTAL INC
- Practice address
- 3226 N Miller Rd
Suite 1
Scottsdale, AZ 85251 - Phone
- (480) 421-0113
- Fax
- (480) 421-0115
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aileen L Richardson, RDH
- Title
- President
- Phone
- (480) 421-0113
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3226 N Miller Rd
Suite 1
Scottsdale, AZ 85251
Mailing address
3226 N Miller Rd
Suite 1
Scottsdale, AZ 85251
Phone (480) 421-0113
Other names 1
- Prime Time Dental
National Provider Directory
National Provider DirectoryLocations
3226 N Miller Rd
Ste 1
Scottsdale, AZ 85251
Phone (480) 421-0113
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Scottsdale, AZ
- NPI 1215155072
-
- Dentist
- Phoenix, AZ
- NPI 1558426767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013942689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3226 N MILLER RD",
"address_2": "SUITE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251",
"telephone_number": "480-421-0113",
"fax_number": "480-421-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3226 N MILLER RD",
"address_2": "SUITE 1",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251",
"telephone_number": "480-421-0113",
"fax_number": "480-421-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME TIME DENTAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "AILEEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-421-0113",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Time Dental",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.