Organization Active NPI

Davita Dental Arts LLC

  • Dental Laboratory
  • Scottsdale, AZ
National Provider Identifier
1215401567
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
Legal business name
DAVITA DENTAL ARTS LLC
Practice address
5900 N Granite Reef Rd Ste 102
Scottsdale, AZ 85250-6280
Phone
(480) 406-9359
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Daniel GoldNPI 1437671518
Title
Member
Phone
(480) 406-9359

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
Dental Laboratory 292200000X Primary

Addresses

Primary practice location

5900 N Granite Reef Rd Ste 102
Scottsdale, AZ 85250-6280

Mailing address

10078 E Pershing Ave
Scottsdale, AZ 85260-7221

National Provider Directory

National Provider Directory

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1215401567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10078 E PERSHING AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N GRANITE REEF RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506280",
            "telephone_number": "480-406-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-406-9359"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "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 Jan 18, 2019; 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.