The Real Dr. Phoenix, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE REAL DR. PHOENIX, LLC

Doing business as

Scottsdale Dental Aesthetics

Practice address

6920 E Shea Blvd Ste 101
Scottsdale, AZ 85254-6185

Phone

(480) 991-3244

Fax

(480) 922-9253

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By 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. Omar Karaboulad, DMDNPI 1932722675

Title

Owner/Doctor

Phone

(480) 991-3244

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Dental Aesthetics Doing business as

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.

• Omar Karaboulad, DMD

  • Dentist
  • Scottsdale, AZ
  • NPI 1932722675
  NPD Authorized official

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1508755323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546185",
            "telephone_number": "480-991-3244",
            "fax_number": "480-922-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546185",
            "telephone_number": "480-991-3244",
            "fax_number": "480-922-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REAL DR. PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "KARABOULAD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-991-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Dental Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Jun 30, 2025; 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.