Active NPI
Barry Nestlerode, DR
- Dentist
- Scottsdale, AZ
National Provider Identifier
1578894424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- AZ4495
- Practice address
- 7125 E Lincoln Dr Ste 212
Scottsdale, AZ 85253-4429 - Phone
- (480) 483-8067
- NPI assigned
- Jan 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | AZ4495 | AZ | Primary |
Addresses
Primary practice location
7125 E Lincoln Dr Ste 212
Scottsdale, AZ 85253-4429
Mailing address
7531 N Clearwater Pkwy
Paradise Valley, AZ 85253-2823
Phone (480) 695-6056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ4495 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1578894424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 N CLEARWATER PKWY",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532823",
"telephone_number": "480-695-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 E LINCOLN DR STE 212",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852534429",
"telephone_number": "480-483-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTLERODE",
"first_name": "BARRY",
"credential": "DR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "AZ4495",
"primary": true
}
],
"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 Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.