Dabestani Dentistry, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5049 Issued in AZ

Legal business name

DABESTANI DENTISTRY, LTD

Doing business as

Desert Canyon Dentistry

Practice address

13910 N Frank Lloyd Wright Blvd
Suite 3
Scottsdale, AZ 85260-2392

Phone

(623) 915-4800

Fax

(623) 915-5084

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ardeshir Dabestani, D.D.S.

Title

President

Phone

(623) 915-4800

Specialties & licenses 2

Addresses

Other names 1

• Desert Canyon Dentistry Doing business as

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619023694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602392",
            "telephone_number": "623-915-4800",
            "fax_number": "623-915-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602392",
            "telephone_number": "623-915-4800",
            "fax_number": "623-915-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABESTANI DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DABESTANI",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-915-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5049",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.