Individual provider Active NPI

Patricio Rabot

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
National Provider Identifier
1396745428
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4373 Issued in AZ
Practice address
6945 E Sahuaro Dr
Suite a-1
Scottsdale, AZ 85254-6722
Phone
(480) 998-7500
NPI assigned
Jul 29, 2005
Reactivated
Apr 3, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4373 AZ Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 36274 CA

Addresses

Primary practice location

6945 E Sahuaro Dr
Suite a-1
Scottsdale, AZ 85254-6722

Mailing address

6945 E Sahuaro Dr
Suite a-1
Scottsdale, AZ 85254-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 22, 2015 through Aug 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4373AZMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1396745428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 E SAHUARO DR",
            "address_2": "SUITE A-1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 E SAHUARO DR",
            "address_2": "SUITE A-1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546722",
            "telephone_number": "480-998-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOT",
        "first_name": "PATRICIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "4373",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "36274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.