Individual provider Active NPI

H. Kendall Scholes, D.M.D.

  • Periodontics
  • Chandler, AZ
National Provider Identifier
1568580439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4444 Issued in AZ
Practice address
595 N Dobson Rd Ste B34
Chandler, AZ 85224-4231
Phone
(480) 786-0940
Fax
(480) 786-5694
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4444 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd Ste B34
Chandler, AZ 85224-4231

Mailing address

595 N Dobson Rd Ste B34
Chandler, AZ 85224-4231
Phone (480) 786-0940

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
I20150902002952 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1557677754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568580439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE B34",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244231",
            "telephone_number": "480-786-0940",
            "fax_number": "480-786-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE B34",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244231",
            "telephone_number": "480-786-0940",
            "fax_number": "480-786-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLES",
        "first_name": "H.",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "4444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.