Individual provider Active NPI

Harris Jatoi, DDS

  • General Practice Dentistry
  • Laveen, AZ
National Provider Identifier
1598842148
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009603 Issued in AZ
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D009603AZMDGeneral Practice Dentistry
019-027224ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.