Organization Active NPI

North Scottsdale Pediatric Dentistry

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1245622182
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4997 Issued in AZ
Legal business name
NORTH SCOTTSDALE PEDIATRIC DENTISTRY
Practice address
14269 N 87TH St
Suite 103
Scottsdale, AZ 85260-3693
Phone
(480) 607-4949
NPI assigned
Mar 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Yaneav Cohen, DDS
Title
Dentist/Owner
Phone
(480) 607-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4997 AZ Primary

Addresses

Primary practice location

14269 N 87TH St
Suite 103
Scottsdale, AZ 85260-3693

Mailing address

14269 N 87TH St
Suite 103
Scottsdale, AZ 85260-3693
Phone (480) 607-4949

Other identifiers 1

IdentifierTypeStateIssuer
861337MedicaidAZ

National Provider Directory

National Provider Directory

Locations

14269 N 87th St
Ste 103
Scottsdale, AZ 85260
Phone (480) 607-4949

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1245622182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14269 N 87TH ST",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603693",
            "telephone_number": "480-607-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14269 N 87TH ST",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603693",
            "telephone_number": "480-607-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SCOTTSDALE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "YANEAV",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "480-607-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861337",
            "state": "AZ"
        }
    ],
    "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 Mar 2, 2015; 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.