Individual provider Active NPI

Carl J. Gassmann, MD, DDS.

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
National Provider Identifier
1275681330
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D4868 Issued in AZ
Practice address
10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5518
Phone
(480) 922-9933
Fax
(480) 607-9120
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D4868 AZ Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 23387 AZ

Addresses

Primary practice location

10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5518

Mailing address

10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5518
Phone (480) 922-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 2, 2018 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23387AZMDProfessional Counselor
D4868AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Surgical Arts, P.C. Oral and Maxillofacial Surgery PastSince Jan 1, 1990 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275681330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD",
            "address_2": "SUITE H-112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605518",
            "telephone_number": "480-922-9933",
            "fax_number": "480-607-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD",
            "address_2": "SUITE H-112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605518",
            "telephone_number": "480-922-9933",
            "fax_number": "480-607-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSMANN",
        "first_name": "CARL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, DDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D4868",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AZ",
            "license": "23387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.