Organization Active NPI

Greenfiled Lake Family Dentistry

Doing business as Pinnacle Peak Family and Cosmetic Dentistry

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1366725731
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GREENFILED LAKE FAMILY DENTISTRY
Doing business as
Pinnacle Peak Family and Cosmetic Dentistry
Practice address
7502 E Pinnacle Peak Rd
Suite B119
Scottsdale, AZ 85255-6168
Phone
(480) 538-0777
Fax
(480) 538-8666
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Girija Nadarajan, DDS
Title
President
Phone
(480) 558-7556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7502 E Pinnacle Peak Rd
Suite B119
Scottsdale, AZ 85255-6168

Mailing address

7502 E Pinnacle Peak Rd
Suite B119
Scottsdale, AZ 85255-6168
Phone (480) 538-0777

Other names 1

  • Pinnacle Peak Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenfield Lakes Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7502 E Pinnacle Peak Rd
Ste B119
Scottsdale, AZ 85255
Phone (480) 538-0777

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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1366725731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 E PINNACLE PEAK RD",
            "address_2": "SUITE B119",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556168",
            "telephone_number": "480-538-0777",
            "fax_number": "480-538-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 E PINNACLE PEAK RD",
            "address_2": "SUITE B119",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556168",
            "telephone_number": "480-538-0777",
            "fax_number": "480-538-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFILED LAKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "NADARAJAN",
        "authorized_official_first_name": "GIRIJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-558-7556",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Peak Family and Cosmetic 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 Sep 22, 2011; 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.