Individual provider Active NPI

Roger A Briggs, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
National Provider Identifier
1568650877
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D01872 Issued in AZ
Practice address
6920 E Shea Blvd
Suite 201
Scottsdale, AZ 85254-6180
Phone
(480) 948-7670
Fax
(480) 991-7168
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D1872 AZ
Orofacial Pain Dentistry 1223X2210X D01872 AZ
Durable Medical Equipment & Medical Supplies 332B00000X D01872 AZ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D01872 AZ Primary

Addresses

Primary practice location

6920 E Shea Blvd
Suite 201
Scottsdale, AZ 85254-6180

Mailing address

6920 E Shea Blvd Ste 201
Scottsdale, AZ 85254-7100
Phone (480) 699-1017

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
I20170508001607 AZ Practitioner - Oral Surgery 1850591108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Loma Linda University School of Dentistry, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6920 E Shea Blvd
Suite 201
Scottsdale, AZ 85254-7100
Phone (480) 699-1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1872AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a. Briggs, D.D.S. LTD General Practice CurrentSince Mar 3, 2010 Accepting new patients
Az Sleep Wellness Centers LLC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2016 Accepting new patients

Locations

6920 E Shea Blvd
Ste 203
Scottsdale, AZ 85254
Phone (480) 699-1017

6920 E Shea Blvd
Ste 201
Scottsdale, AZ 85254
Phone (480) 699-1017

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1568650877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547100",
            "telephone_number": "480-699-1017",
            "fax_number": "480-991-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 E SHEA BLVD",
            "address_2": "SUITE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546180",
            "telephone_number": "480-948-7670",
            "fax_number": "480-991-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D1872",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D01872",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "D01872",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D01872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.