Organization Active NPI

Az Dental Implant Centers LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
National Provider Identifier
1346873890
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
AZ DENTAL IMPLANT CENTERS LLC
Practice address
7102 E Acoma Dr
Scottsdale, AZ 85254-2771
Phone
(602) 386-8972
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Sky MooreNPI 1053473009
Title
Member
Phone
(602) 386-8972

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

7102 E Acoma Dr
Scottsdale, AZ 85254-2771

Mailing address

7601 E Indian Bend Rd Apt 1050
Scottsdale, AZ 85250-4689
Phone (602) 386-8972

Other practice location 1

9070 E Desert Cove Ave Ste 105
Scottsdale, AZ 85260-6228
Phone (602) 386-8972

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1346873890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 E INDIAN BEND RD APT 1050",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504689",
            "telephone_number": "602-386-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 E ACOMA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542771",
            "telephone_number": "602-386-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9070 E Desert Cove Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606228",
            "country_code": "US",
            "telephone_number": "602-386-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZ DENTAL IMPLANT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-386-8972"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Feb 12, 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.