Centre for Progressive Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3573 Issued in AZ

Legal business name

CENTRE FOR PROGRESSIVE DENTISTRY

Practice address

9002 E Desert Cove Dr Ste 101
Scottsdale, AZ 85260-6275

Phone

(480) 451-5888

Fax

(480) 451-9378

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M Sims, D.D.S.NPI 1073603932

Title

Owner

Phone

(480) 451-5888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Fe Dental Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas M Sims, D.D.S.

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1073603932
  Authorized official Same address or phone

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437222536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 E DESERT COVE DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606275",
            "telephone_number": "480-451-5888",
            "fax_number": "480-451-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 E DESERT COVE DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606275",
            "telephone_number": "480-451-5888",
            "fax_number": "480-451-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE FOR PROGRESSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-451-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "277697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Fe Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Michele L Cernich, O.T.
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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.