NPIMap

Organization Active NPI

Paul D. Douglas, DDS, PC

Doing business as Douglas Family Dentistry

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1346439270
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3779 Issued in AZ
Legal business name
PAUL D. DOUGLAS, DDS, PC
Doing business as
Douglas Family Dentistry
Practice address
10630 N Scottsdale Rd
Scottsdale, AZ 85254-5240
Phone
(480) 948-3680
Fax
(480) 948-0711
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Paul Dean Douglas, DDSNPI 1225096415
Title
Dentist
Phone
(480) 948-3680

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3779 AZ Primary

Addresses

Primary practice location

10630 N Scottsdale Rd
Scottsdale, AZ 85254-5240

Mailing address

10630 N Scottsdale Rd
Scottsdale, AZ 85254-5240
Phone (480) 948-3680

Other names 1

  • Douglas Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10630 N Scottsdale Rd
Scottsdale, AZ 85254
Phone (480) 946-3333

Practitioners & affiliated clinicians

Practitioners 4

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1346439270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545240",
            "telephone_number": "480-948-3680",
            "fax_number": "480-948-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545240",
            "telephone_number": "480-948-3680",
            "fax_number": "480-948-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. DOUGLAS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-948-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Family 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 Oct 16, 2007; 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.