NPIMap

Organization Active NPI

Scottsdale Prosthodontists II, PLLC

  • Prosthodontics
  • Scottsdale, AZ
National Provider Identifier
1194247098
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2139 Issued in AZ
Legal business name
SCOTTSDALE PROSTHODONTISTS II, PLLC
Practice address
11111 N Scottsdale Rd Ste 220
Scottsdale, AZ 85254-6732
Phone
(480) 368-0060
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael Gibbons, DMDNPI 1538167234
Title
Prosthodontist
Phone
(480) 368-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 2139 AZ Primary

Addresses

Primary practice location

11111 N Scottsdale Rd Ste 220
Scottsdale, AZ 85254-6732

Mailing address

11111 N Scottsdale Rd Ste 220
Scottsdale, AZ 85254-6732
Phone (480) 368-0600

National Provider Directory

National Provider Directory

Locations

11111 N Scottsdale Rd
Ste 220
Scottsdale, AZ 85254
Phone (480) 368-0060

Practitioners & affiliated clinicians

Practitioners 1

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": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194247098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 N SCOTTSDALE RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546732",
            "telephone_number": "480-368-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 N SCOTTSDALE RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546732",
            "telephone_number": "480-368-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PROSTHODONTISTS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "480-368-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "2139",
            "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 Jul 21, 2022; 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.