NPIMap

Organization Active NPI

Associated Dental Care Providers

Doing business as Associated Dental Care Scottsdale

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1194851790
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS
Doing business as
Associated Dental Care Scottsdale
Practice address
7425 E Shea Blvd Ste 109
Scottsdale, AZ 85260-6411
Phone
(480) 443-1717
Fax
(480) 443-1818
NPI assigned
Feb 26, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Mrs. Hannah Fish
Title
Credentialing Manager
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

7425 E Shea Blvd Ste 109
Scottsdale, AZ 85260-6411

Mailing address

7425 E Shea Blvd Ste 109
Scottsdale, AZ 85260-6411
Phone (480) 443-1717

Other names 1

  • Associated Dental Care Scottsdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Dental Care Providers LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7425 E Shea Blvd
Ste 109
Scottsdale, AZ 85260
Phone (480) 443-1717

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1194851790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411",
            "telephone_number": "480-443-1717",
            "fax_number": "480-443-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 109",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411",
            "telephone_number": "480-443-1717",
            "fax_number": "480-443-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental Care Scottsdale",
            "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 18, 2023; 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.