HDP North Scottsdale Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HDP NORTH SCOTTSDALE DENTAL LLC

Doing business as

North Scottsdale Dentistry

Practice address

21809 N Scottsdale Rd Ste C105
Scottsdale, AZ 85255-7440

Phone

(480) 563-0000

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• North Scottsdale Dentistry Doing business as

Locations

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1548809247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD STE C105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21809 N SCOTTSDALE RD STE C105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557440",
            "telephone_number": "480-563-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDP NORTH SCOTTSDALE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Scottsdale Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.