Scoresby Pediatric Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SCORESBY PEDIATRIC DENTAL

Doing business as

Chandler Pediatric Dental

Practice address

2095 W Frye Rd Ste 2
Chandler, AZ 85224-6280

Phone

(480) 855-8315

Fax

(480) 855-8316

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert William Scoresby, DDSNPI 1487826533

Title

Owner

Phone

(480) 855-8315

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Chandler Pediatric Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Scoresby, DDS

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1487826533
  NPD (past) Authorized official
• Blake K Tucker, DDS

  • Dentist
  • Chandler, AZ
  • NPI 1275699084
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1417176199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD",
            "address_2": "BUILDING B SUITE 214",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245667",
            "telephone_number": "480-855-1315",
            "fax_number": "480-855-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W FRYE RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246280",
            "telephone_number": "480-855-8315",
            "fax_number": "480-855-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCORESBY PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "SCORESBY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-8315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D7962",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535113",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814503",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nickolaus Schwarz, ED.S.
• Ashley Schweigert, SLPA
• Jeffrey Schwertfager, LSAT
• Brian Scinto
• Rose Sclafani, CAREGIVER CERT
• Robert W Scoresby, DDS
• Scott E. Pendleton, M.D., P.C.
• Scott Medical, LLC
• Melanie Kay Scott, PA-C
• Shay-Ann M Scott, LMT

• Pediatric Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.