Active NPI
Anna Vaysman, D.M.D
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1154737583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 008989
- Practice address
- 9755 N 90TH St Ste 190
Scottsdale, AZ 85258-5047 - Phone
- (480) 451-0908
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8989 | AZ | |
| General Practice Dentistry | 1223G0001X | 008989 | AZ | Primary |
Addresses
Primary practice location
9755 N 90TH St Ste 190
Scottsdale, AZ 85258-5047
Mailing address
9755 N 90TH St Ste 190
Scottsdale, AZ 85258-5047
Phone (480) 451-0908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8989 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna Vaysman DMD PLLC | General Practice | Current | Accepting new patients |
| Stetson Dental Group PC | Dentist | Past | Accepting new patients |
| Todd H Mabry DDS PC | Dentist | Past | Accepting new patients |
Locations
9755 N 90th St
Ste 190
Scottsdale, AZ 85258
Phone (480) 451-0908
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1669149985
-
- Dentist
- Scottsdale, AZ
- NPI 1518179084
-
- Dentist
- Scottsdale, AZ
- NPI 1447424460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1154737583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 N 90TH ST STE 190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585047",
"telephone_number": "480-451-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 N 90TH ST STE 190",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585047",
"telephone_number": "480-451-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYSMAN",
"first_name": "ANNA",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8989",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "008989",
"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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.