Active NPI
Fattah Family Dentistry, PC
- Dental Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1023523396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D009597
- Legal business name
- FATTAH FAMILY DENTISTRY, PC
- Practice address
- 8055 N Via de Negocio
Scottsdale, AZ 85258-4313 - Phone
- (480) 607-6937
- Fax
- (480) 607-6973
- NPI assigned
- Dec 8, 2017
- 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
- Dr. Kamran Fattah, DMD
- Title
- President / General Dentist
- Phone
- (503) 330-2847
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D009597 | AZ | Primary |
Addresses
Primary practice location
8055 N Via de Negocio
Scottsdale, AZ 85258-4313
Mailing address
7961 E Softwind Dr
Scottsdale, AZ 85255-3467
Phone (480) 361-1100
Other names 1
- Scottsdale Family Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1932321130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512691200000",
"number": "1023523396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7961 E SOFTWIND DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553467",
"telephone_number": "480-361-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8055 N VIA DE NEGOCIO",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584313",
"telephone_number": "480-607-6937",
"fax_number": "480-607-6973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FATTAH FAMILY DENTISTRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A",
"authorized_official_last_name": "FATTAH",
"authorized_official_first_name": "KAMRAN",
"authorized_official_title_or_position": "PRESIDENT / GENERAL DENTIST",
"authorized_official_telephone_number": "503-330-2847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AZ",
"license": "D009597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Scottsdale Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.