Organization Active NPI

Fattah Family Dentistry, PC

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1023523396
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D009597 Issued in AZ
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

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Dr. Kamran Fattah, DMDNPI 1932321130
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.