Individual provider Active NPI

Brenda Taege, D.D.S.

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1265645873
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5941 Issued in AZ
Practice address
8416 E Shea Blvd
Suite C100
Scottsdale, AZ 85260-6666
Phone
(480) 860-6744
Fax
(480) 860-8777
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5941 AZ Primary

Addresses

Primary practice location

8416 E Shea Blvd
Suite C100
Scottsdale, AZ 85260-6666

Mailing address

8416 E Shea Blvd
Suite C100
Scottsdale, AZ 85260-6666
Phone (480) 860-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5941AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Taege, DDS, LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1265645873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD",
            "address_2": "SUITE C100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-860-6744",
            "fax_number": "480-860-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 E SHEA BLVD",
            "address_2": "SUITE C100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606666",
            "telephone_number": "480-860-6744",
            "fax_number": "480-860-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEGE",
        "first_name": "BRENDA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5941",
            "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 Oct 30, 2008; 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.