Roberto E Divito, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7595 Issued in AZ

Practice address

7900 E Thompson Peak Pkwy Ste 101
Arizona Center for Laser Dentistry
Scottsdale, AZ 85255-7400

Phone

(480) 990-1905

Fax

(480) 990-2311

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1275799520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E THOMPSON PEAK PKWY STE 101",
            "address_2": "ARIZONA CENTER FOR LASER DENTISTRY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557400",
            "telephone_number": "480-990-1905",
            "fax_number": "480-990-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E THOMPSON PEAK PKWY STE 101",
            "address_2": "ARIZONA CENTER FOR LASER DENTISTRY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557400",
            "telephone_number": "480-990-1905",
            "fax_number": "480-990-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "ROBERTO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin J Ditmore
• Natalie Ditullio, LCSW
• Diversified Medical Solutions
• Ronald W Divine, MD
• Enrico E. Divito, D.D.S., P.C.
• Caroline Dixon
• Chyllia Dixon, PMHNP
• Harmony Dixon, MD
• Jenni J Dixon, MSN, RN, FNP-C
• Michael Dixon, LPC

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.