Individual provider Active NPI

Tony C Kaocharoen, D.D.S

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1386719706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5312 Issued in AZ
Practice address
7054 E Cochise Rd
B200
Scottsdale, AZ 85253-4546
Phone
(480) 607-0498
Fax
(480) 951-2127
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5312 AZ Primary

Addresses

Primary practice location

7054 E Cochise Rd
B200
Scottsdale, AZ 85253-4546

Mailing address

7054 E Cochise Rd
B200
Scottsdale, AZ 85253-4546
Phone (480) 607-0498

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
5312AZMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386719706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 E COCHISE RD",
            "address_2": "B200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534546",
            "telephone_number": "480-607-0498",
            "fax_number": "480-951-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7054 E COCHISE RD",
            "address_2": "B200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534546",
            "telephone_number": "480-607-0498",
            "fax_number": "480-951-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOCHAROEN",
        "first_name": "TONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5312",
            "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 Jul 8, 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.