Individual provider Active NPI

Zachary D Gilbertson, DMD

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1346438652
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6463 Issued in AZ
Practice address
5533 E Bell Rd
Suite 120
Scottsdale, AZ 85254-1228
Phone
(602) 977-1110
Fax
(602) 795-1420
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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 6463 AZ Primary

Addresses

Primary practice location

5533 E Bell Rd
Suite 120
Scottsdale, AZ 85254-1228

Mailing address

5533 E Bell Rd
Suite 120
Scottsdale, AZ 85254-1228
Phone (602) 977-1110

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
6463AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Dental Care, PC General Practice PastSince Oct 1, 2016 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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1346438652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541228",
            "telephone_number": "602-977-1110",
            "fax_number": "602-795-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541228",
            "telephone_number": "602-977-1110",
            "fax_number": "602-795-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6463",
            "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 Sep 17, 2009; 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.