Individual provider Active NPI

Scott Daniel Adashek, D.D.S., M.S.

  • Periodontics
  • Gilbert, AZ
National Provider Identifier
1568629236
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D07951 Issued in AZ
Practice address
2080 E Williams Field Rd Ste 104
Gilbert, AZ 85295
Phone
(480) 284-6402
Fax
(480) 621-7022
NPI assigned
May 20, 2008
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D07951 AZ Primary

Addresses

Primary practice location

2080 E Williams Field Rd Ste 104
Gilbert, AZ 85295

Mailing address

11875 N 110TH Way
Scottsdale, AZ 85259-3075
Phone (414) 587-6793

Other practice location 1

6601 S Rural Rd
Tempe, AZ 85283-3747
Phone (480) 456-0281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 10, 2019 through Jul 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D07951AZMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1568629236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 N 110TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593075",
            "telephone_number": "414-587-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E WILLIAMS FIELD RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85295",
            "telephone_number": "480-284-6402",
            "fax_number": "480-621-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 S Rural Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852833747",
            "country_code": "US",
            "telephone_number": "480-456-0281",
            "fax_number": "480-831-0563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADASHEK",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D07951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.