North Scottsdale Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

3469 Issued in AZ

Legal business name

NORTH SCOTTSDALE FAMILY DENTISTRY

Practice address

9070 E Desert Cove Ave
Ste 105
Scottsdale, AZ 85260-6227

Phone

(480) 614-1122

Fax

(480) 614-1226

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Cathy Poulos

Title

Office Manager

Phone

(480) 614-1122

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205906187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-614-1122",
            "fax_number": "480-614-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE",
            "address_2": "STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-614-1122",
            "fax_number": "480-614-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SCOTTSDALE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-614-1122"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3469",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Scottsdale Children'S Dentistry & Orthodontics
• North Scottsdale Dental Associates, PLLC
• North Scottsdale Endodontics
• North Scottsdale Eye Care
• North Scottsdale Family Chiropractic, Inc.
• North Scottsdale Family Medicine Associates PLC
• North Scottsdale Family Therapy
• North Scottsdale Foot and Ankle Center, Inc.
• North Scottsdale Health, PLLC
• North Scottsdale Medical PLLC

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.