Active NPI
Harris Jatoi, DDS
- General Practice Dentistry
- Laveen, AZ
National Provider Identifier
1598842148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009603
- Practice address
- 5270 W Baseline Rd Ste 130
Laveen, AZ 85339-6959 - Phone
- (480) 564-4979
- NPI assigned
- Nov 1, 2006
- Last updated
- May 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-027224 | IL | |
| General Practice Dentistry | 1223G0001X | D009603 | AZ | Primary |
Addresses
Primary practice location
5270 W Baseline Rd Ste 130
Laveen, AZ 85339-6959
Mailing address
7341 N Via Camello del Norte Unit 131
Scottsdale, AZ 85258-3627
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 |
|---|---|---|---|
| D009603 | AZ | MD | General Practice Dentistry |
| 019-027224 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Dental Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1598842148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7341 N VIA CAMELLO DEL NORTE UNIT 131",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 W BASELINE RD STE 130",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853396959",
"telephone_number": "480-564-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATOI",
"first_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-027224",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.