Active NPI
Diana A. Batoon, DMD
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1063561553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4819
- Practice address
- 11111 N Scottsdale Rd
Suite # 130
Scottsdale, AZ 85254-6734 - Phone
- (480) 776-0643
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4819 | AZ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4819 | AZ | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4819 | AZ | |
| General Practice Dentistry | 1223G0001X | 4819 | AZ | Primary |
Addresses
Primary practice location
11111 N Scottsdale Rd
Suite # 130
Scottsdale, AZ 85254-6734
Mailing address
11111 N Scottsdale Rd Ste 130
Scottsdale, AZ 85254-6734
Phone (480) 776-0643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831381086 | Other | AZ | NPPES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 5, 2022 through Oct 5, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana a Batoon, DMD,PC | Dentist | Past | Accepting new patients |
Interoperability endpoints
- dbatoon24117@direct.midwestern.edu
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1063561553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 N SCOTTSDALE RD STE 130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546734",
"telephone_number": "480-776-0643",
"fax_number": "480-776-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 N SCOTTSDALE RD",
"address_2": "SUITE # 130",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546734",
"telephone_number": "480-776-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATOON",
"first_name": "DIANA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "4819",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "4819",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AZ",
"license": "4819",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1831381086",
"state": "AZ"
}
],
"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 Mar 21, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.