Organization Active NPI

Waldman Dental, PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1497775217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6328 Issued in AZ
Legal business name
WALDMAN DENTAL, PLLC
Practice address
16700 N Thompson Peak Pkwy
Suite130
Scottsdale, AZ 85260-2384
Phone
(480) 551-6400
Fax
(480) 551-6800
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Owen Mivhael Waldman, DMD
Title
Owner/Managing Member
Phone
(480) 551-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6328 AZ Primary

Addresses

Primary practice location

16700 N Thompson Peak Pkwy
Suite130
Scottsdale, AZ 85260-2384

Mailing address

16700 N Thompson Peak Pkwy
Suite130
Scottsdale, AZ 85260-2384
Phone (480) 551-6400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497775217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 N THOMPSON PEAK PKWY",
            "address_2": "SUITE130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602384",
            "telephone_number": "480-551-6400",
            "fax_number": "480-551-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 N THOMPSON PEAK PKWY",
            "address_2": "SUITE130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602384",
            "telephone_number": "480-551-6400",
            "fax_number": "480-551-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDMAN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "MIVHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "480-551-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • 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.