Individual provider Active NPI

Kayla Erps, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1568033488
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09934 Issued in IA
Practice address
14858 N Frank Lloyd Wright Blvd Ste 165a
Scottsdale, AZ 85260-2216
Phone
(480) 860-4455
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09934 IA Primary
General Practice Dentistry 1223G0001X D011160 AZ

Addresses

Primary practice location

14858 N Frank Lloyd Wright Blvd Ste 165a
Scottsdale, AZ 85260-2216

Mailing address

51 Renee LN
Tiffin, IA 52340-4756
Phone (515) 664-7607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20211104002142 AZ Order and Referring Only - DentistPractitioner - Dentist 0143619536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D011160AZMDGeneral Practice Dentistry
DDS-09934IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Modern Dentistry and Orthodontics, LLP General Practice PastSince Jul 4, 2021 Accepting new patients
Scottsdale Modern Dentistry and Orthodontics, LLP General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1568033488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RENEE LN",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523404756",
            "telephone_number": "515-664-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14858 N FRANK LLOYD WRIGHT BLVD STE 165A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602216",
            "telephone_number": "480-860-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERPS",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09934",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.