Highland Avenue Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HIGHLAND AVENUE DENTAL PLLC

Doing business as

Highland Dental Studio

Practice address

740 E Highland Ave Ste 200
Phoenix, AZ 85014-3679

Phone

(602) 264-0707

NPI assigned

Mar 7, 2022

Last updated

May 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicenta Reyes

Title

Lead of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Highland Dental Studio Doing business as

Locations

Practitioners 1

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.

• Scott William Keith, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1194842989
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1063169324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143679",
            "telephone_number": "602-264-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143679",
            "telephone_number": "602-264-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND AVENUE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "LEAD OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• High Country Anesthesiology, PLLC
• Lori Beth Highberger, M.D.
• Highbury Dental Management, LLC
• Higher Power Health Providers LLC
• Higher Rock Homes, Inc.
• Highland Behavioral, LLC
• Highland Healthcare LLC (Camelback Post Acute Care and Rehabilitation)
• Highland Healthcare LLC (Camelback Post Acute Care and Rehabilitation)
• Highland Medical Center, PC
• Highland Pain Clinic PLLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.