Organization Active NPI

Bret S. Standage DMD PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1114724218
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRET S. STANDAGE DMD PLLC
Practice address
10850 N 90TH St
Scottsdale, AZ 85260-6717
Phone
(480) 657-6357
Fax
(480) 657-8951
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Mrs. Amanda J Lowe
Title
Manager
Phone
(480) 657-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10850 N 90TH St
Scottsdale, AZ 85260-6717

Mailing address

10850 N 90TH St
Scottsdale, AZ 85260-6717
Phone (480) 657-6357

National Provider Directory

National Provider Directory

Locations

10850 N 90th St
Scottsdale, AZ 85260
Phone (480) 657-6357

Practitioners & affiliated clinicians

Practitioners 2

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": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1114724218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 N 90TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606717",
            "telephone_number": "480-657-6357",
            "fax_number": "480-657-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 N 90TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606717",
            "telephone_number": "480-657-6357",
            "fax_number": "480-657-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET S. STANDAGE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-657-6357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Feb 26, 2025; 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.