Individual provider Active NPI

Anna Vaysman, D.M.D

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1154737583
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008989 Issued in AZ
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

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8989 AZ
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
8989AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Vaysman DMD PLLC General Practice CurrentSince Sep 28, 2021 Accepting new patients
Stetson Dental Group PC Dentist PastSince Sep 28, 2021 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.

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.

Verify at the official NPI Registry.