Organization Active NPI

Dental Salon Scottsdale

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1043072184
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL SALON SCOTTSDALE
Practice address
8980 N 90TH St Ste 130
Scottsdale, AZ 85258-5398
Phone
(602) 887-8373
NPI assigned
Jan 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Mark Morris, DMD
Title
Owner
Phone
(602) 887-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8980 N 90TH St Ste 130
Scottsdale, AZ 85258-5398

Mailing address

939 W North Ave Ste 890
Chicago, IL 60642-8683
Phone (312) 642-3370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1043072184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 890",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606428683",
            "telephone_number": "312-642-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 N 90TH ST STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585398",
            "telephone_number": "602-887-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SALON SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-887-8373",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "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 24, 2024; 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.