Enrico E. Divito, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2556 Issued in AZ

Practice address

1525 N Granite Reef Rd Ste 12
Scottsdale, AZ 85257-3998

Phone

(480) 990-1905

Fax

(480) 990-2311

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487773529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N GRANITE REEF RD STE 12",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573998",
            "telephone_number": "480-990-1905",
            "fax_number": "480-990-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N GRANITE REEF RD STE 12",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573998",
            "telephone_number": "480-990-1905",
            "fax_number": "480-990-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "ENRICO",
        "middle_name": "E.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ditare, Inc (Therapy Rehabilitation Services, Inc)
• Dustin J Ditmore
• Natalie Ditullio, LCSW
• Diversified Medical Solutions
• Ronald W Divine, MD
• Roberto E Divito, DDS
• Caroline Dixon
• Chyllia Dixon, PMHNP
• Harmony Dixon, MD
• Jenni J Dixon, MSN, RN, FNP-C

• 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 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.