Arizona Oral Health Center PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ARIZONA ORAL HEALTH CENTER PLLC

Practice address

5900 N Granite Reef Rd Ste 100
Scottsdale, AZ 85250-6280

Phone

(480) 977-1440

Fax

(480) 977-1439

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Gary Gold

Title

Owner

Phone

(480) 977-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan D Cullinan, D.D.S.

  • Dentist
  • Glendale, AZ
  • NPI 1639269657
  Medicare reassignment NPD
• Daniel Gold, DDS

  • Dentist
  • Scottsdale, AZ
  • NPI 1437671518
  NPD (past)

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1205510948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N GRANITE REEF RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506280",
            "telephone_number": "480-977-1440",
            "fax_number": "480-977-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N GRANITE REEF RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506280",
            "telephone_number": "480-977-1440",
            "fax_number": "480-977-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ORAL HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-977-1440"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.