NPIMap

Organization Active NPI

Landmark Smiles of Scottsdale, Inc.

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1124494745
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009244 Issued in AZ
Legal business name
LANDMARK SMILES OF SCOTTSDALE, INC.
Practice address
6920 E Shea Blvd
Ste 101
Scottsdale, AZ 85254-6180
Phone
(480) 991-3244
Fax
(480) 922-9253
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Aaron J Wildung, DDSNPI 1891176541
Title
President
Phone
(480) 234-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D009244 AZ Primary

Addresses

Primary practice location

6920 E Shea Blvd
Ste 101
Scottsdale, AZ 85254-6180

Mailing address

6920 E Shea Blvd
Ste 101
Scottsdale, AZ 85254-6180
Phone (480) 991-3244

National Provider Directory

National Provider Directory

Locations

6920 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 991-3244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1124494745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546180",
            "telephone_number": "480-991-3244",
            "fax_number": "480-922-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD",
            "address_2": "STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546180",
            "telephone_number": "480-991-3244",
            "fax_number": "480-922-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK SMILES OF SCOTTSDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "WILDUNG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-234-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009244",
            "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 Aug 18, 2015; 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.