Prachi Tyagi

Primary specialty

DentistTaxonomy code 122300000X

License

D010508 Issued in AZ

Practice address

14858 N Frank Lloyd Wright Blvd BLDG 260
Scottsdale, AZ 85260-2216

Phone

(480) 860-4455

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Prachi Tyagi Other name

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sspdental

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1215680004
  NPD Authorized official
• Horizon Modern Dentistry and Orthodontics, LLP

  dba Horizon Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1922314202
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1053797357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14858 N FRANK LLOYD WRIGHT BLVD STE 165A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602216",
            "telephone_number": "402-551-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14858 N FRANK LLOYD WRIGHT BLVD BLDG 260",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602216",
            "telephone_number": "480-860-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 N 90th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681346002",
            "country_code": "US",
            "telephone_number": "402-551-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYAGI",
        "first_name": "PRACHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRACHI",
            "last_name": "TYAGI",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonja Tveit-Pettersen, N.M.D.
• Diane S Tvert, PT
• Kelly Ann Twilling, FNP-C
• Sheena Twitchell, APRN, MSN, FNP-BC
• Grazia Tworek
• Alyssa Mae Tyler, PA-C
• Jade Tyler, RD
• Kenneth Dale Tyler, D.D.S., M.S.
• Kathleen Tyrakoski
• Wesley A Tyree, M.D.

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.