NPIMap

Organization Active NPI

Pinnacle Modern Dentistry, LLP

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1144698606
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PINNACLE MODERN DENTISTRY, LLP
Practice address
23271 N Scottsdale Rd Ste A106
Scottsdale, AZ 85255-4484
Phone
(480) 544-2383
Fax
(480) 563-2249
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Russell L Mitchell, DDS
Title
Owner Doctor
Phone
(480) 544-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23271 N Scottsdale Rd Ste A106
Scottsdale, AZ 85255-4484

Mailing address

17000 Red Hill Avenue
Irvine, CA 92614
Phone (480) 544-2383

Other names 1

  • Pinnacle Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

23271 N Scottsdale Rd
Ste A106
Scottsdale, AZ 85255
Phone (480) 544-2383

Practitioners & affiliated clinicians

Practitioners 5

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": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1144698606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "480-544-2383",
            "fax_number": "480-563-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23271 N SCOTTSDALE RD STE A106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554484",
            "telephone_number": "480-544-2383",
            "fax_number": "480-563-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "480-544-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 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.