Active NPI
Richard Jay Handelman, DDS
- Dentist
- Anthem, AZ
National Provider Identifier
1063456606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009418
- Practice address
- 39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703 - Phone
- (623) 277-5002
- NPI assigned
- Jun 15, 2006
- Last updated
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 009418 | AZ | Primary |
Addresses
Primary practice location
39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703
Mailing address
7025 E Via Soleri Dr
1045
Scottsdale, AZ 85251-1266
Phone (719) 661-0017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009418 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental Anthem PLLC | Dentist | Current | Accepting new patients |
| Intermountain Companies | Dentist | Past | Accepting new patients |
| Modern Dental Professionals Az, PC | Past | Accepting new patients |
Locations
39422 N Daisy Mountain Dr
Anthem, AZ 85086
Phone (623) 277-5002
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Scottsdale, AZ
- NPI 1437507233
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- Dentist
- Anthem, AZ
- NPI 1962126789
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dba Brightnow Christown Spectrum
- General Practice Dentistry
- Chandler, AZ
- NPI 1376814012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1063456606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 E VIA SOLERI DR",
"address_2": "1045",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852511266",
"telephone_number": "719-661-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39422 N DAISY MOUNTAIN DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850866703",
"telephone_number": "623-277-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDELMAN",
"first_name": "RICHARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "009418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.