Organization Active NPI

Scottsdale Facial Aesthetics PLLC

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1104758077
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
SCOTTSDALE FACIAL AESTHETICS PLLC
Practice address
8900 E Raintree Dr Ste 200
Scottsdale, AZ 85260-7307
Phone
(602) 830-8513
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Jinesh Shah, MDNPI 1801243472
Title
Owner
Phone
(503) 706-9934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

8900 E Raintree Dr Ste 200
Scottsdale, AZ 85260-7307

Mailing address

PO Box 15402
Scottsdale, AZ 85267-5402
Phone (480) 752-7874

National Provider Directory

National Provider Directory

Locations

7575 E Redfield Rd
Scottsdale, AZ 85260

8900 E Raintree Dr
Ste 200
Scottsdale, AZ 85260
Phone (480) 752-7874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1104758077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15402",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675402",
            "telephone_number": "480-752-7874",
            "fax_number": "888-732-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E RAINTREE DR STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607307",
            "telephone_number": "602-830-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE FACIAL AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JINESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-706-9934",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "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 Sep 3, 2026; 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.