Organization Active NPI

Mariposa Dental Group, PLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1295190643
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D04426 Issued in AZ
Legal business name
MARIPOSA DENTAL GROUP, PLC
Practice address
7327 E Thomas Rd
Scottsdale, AZ 85251-7215
Phone
(809) 994-5225
Fax
(480) 462-1898
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. Beth Vander Schaaf, DDSNPI 1033258496
Title
Dentist
Phone
(480) 994-5225

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D04426 AZ Primary

Addresses

Primary practice location

7327 E Thomas Rd
Scottsdale, AZ 85251-7215

Mailing address

7327 E Thomas Rd
Scottsdale, AZ 85251-7215
Phone (809) 994-5225

Other identifiers 3

IdentifierTypeStateIssuer
000826545OtherUNITED CONCORDIA
149775MedicaidAZ
1033258496OtherNPI

Other names 1

  • Smile Arizona Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7327 E Thomas Rd
Scottsdale, AZ 85251
Phone (480) 994-5225

7342 E Thomas Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 935-2424

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1295190643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 E THOMAS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517215",
            "telephone_number": "809-994-5225",
            "fax_number": "480-462-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7327 E THOMAS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517215",
            "telephone_number": "809-994-5225",
            "fax_number": "480-462-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "VANDER SCHAAF",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-994-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D04426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000826545",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149775",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033258496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Arizona Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2020; 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.