Organization Active NPI

Justin Waters PLLC

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1023827391
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JUSTIN WATERS PLLC
Practice address
8390 E Via de Ventura Ste F200
Scottsdale, AZ 85258-3177
Phone
(480) 466-6399
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Dr. Justin James Waters, DMDNPI 1871267385
Title
Owner
Phone
(480) 400-5000

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 NU Primary

Addresses

Primary practice location

8390 E Via de Ventura Ste F200
Scottsdale, AZ 85258-3177

Mailing address

8390 E Via de Ventura Ste F200
Scottsdale, AZ 85258-3177
Phone (480) 466-6399

Other practice location 1

10615 N Hayden Rd Ste C-104
Scottsdale, AZ 85260-5734
Phone (480) 905-7171

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1023827391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA STE F200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583177",
            "telephone_number": "480-466-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA STE F200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583177",
            "telephone_number": "480-466-6399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10615 N Hayden Rd Ste C-104",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852605734",
            "country_code": "US",
            "telephone_number": "480-905-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUSTIN WATERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-400-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 2, 2025; 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.