Scott Rode, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010685 Issued in AZ

Practice address

2217 W Happy Valley Rd Ste 100
Phoenix, AZ 85085-1604

Phone

(623) 581-7031

NPI assigned

Jun 12, 2020

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aurora Dental, PLC

  dba Aspen Dental

  • Dentist
  • Glendale, AZ
  • NPI 1952767352
  NPD (past)
• Justin C Ewell DMD PLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1447740584
  NPD (past)
• Norterra Dental Group and Orthodontics, LLP

  dba Norterra Dental Group and Orthodontics

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1861628992
  NPD (past)
• Thielen Dental LLC

  • General Practice Dentistry
  • Laveen, AZ
  • NPI 1649018417
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1457976649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 W HAPPY VALLEY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851604",
            "telephone_number": "623-581-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W HAPPY VALLEY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850851604",
            "telephone_number": "623-581-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Holdings, LLC (Native Air)
• Amy Michelle Rodabaugh, SLPA
• Aaron Rodarte, PA-C
• Phoenix Deziree Rodarte, LCSW
• Daniel Allen Rodda, D.D.S.
• Jordana L Rodeheaver, NP
• Amie Roden, M.ED
• Jamie Rodenburg, PHYSICAL THERAPIST
• Hannah Roderick
• Russell W Roderick, D.M.D

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.