Desert Canyon Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4395 Issued in AZ

Legal business name

DESERT CANYON DENTISTRY PLLC

Practice address

13910 N Frank Lloyd Wright Blvd
Ste 3
Scottsdale, AZ 85260

Phone

(480) 661-1200

Fax

(480) 661-1729

NPI assigned

May 14, 2008

Last updated

May 14, 2008By 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

Joe Dale Ditterline, DMD

Title

Dentist Owner

Phone

(480) 661-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1114194651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-661-1200",
            "fax_number": "480-661-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-661-1200",
            "fax_number": "480-661-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CANYON DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "DITTERLINE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "480-661-1200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rini Manoj Desai, MD
• Desert Ancillary Services PLLC
• Desert Anesthesia Consultants LTD
• Desert Anesthesia PLLC
• Desert Breeze Family Dental (Desert Breeze Dental Care)
• Desert Canyon Internal Medicine PLLC
• Desert Canyon Surgery Center LLC
• Desert Cove Healthcare, Inc. (Shea Post Acute Rehabilitation Center)
• Desert Cove Healthcare, Inc. (Shea Post Acute Rehabilitation Center)
• Desert Cove Recovery Center L.L.C.

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 14, 2008; 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.