Individual provider Active NPI

Noah Vacanti, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1174148985
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010665 Issued in AZ
Practice address
11000 N Scottsdale Rd Ste 140
Scottsdale, AZ 85254-5270
Phone
(480) 596-8273
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D010665 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd Ste 140
Scottsdale, AZ 85254-5270

Mailing address

11000 N Scottsdale Rd Ste 140
Scottsdale, AZ 85254-5270
Phone (480) 596-8273

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
D010665AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anddental General Practice PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

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": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1174148985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-596-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545270",
            "telephone_number": "480-596-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACANTI",
        "first_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010665",
            "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, 2024; 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.