Active NPI
Kayla Erps, DDS
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1568033488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211104002142 | AZ | Order and Referring Only - Dentist | 0143619536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011160 | AZ | MD | General Practice Dentistry |
| DDS-09934 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Modern Dentistry and Orthodontics, LLP | General Practice | Past | 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.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1922314202
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1730434515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.