Bruce Jay Etkin, DDS, CAGS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2188 Issued in AZ

Practice address

7181 E Camelback Rd
Apt 1201
Scottsdale, AZ 85251-1279

Phone

(480) 223-8990

Fax

(480) 991-2474

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1629376009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7181 E CAMELBACK RD",
            "address_2": "APT 1201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511279",
            "telephone_number": "480-223-8990",
            "fax_number": "480-991-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7181 E CAMELBACK RD",
            "address_2": "APT 1201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511279",
            "telephone_number": "480-223-8990",
            "fax_number": "480-991-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETKIN",
        "first_name": "BRUCE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS, CAGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "2188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lionel Estrada, LISAC
• Sarah Inda Estrada, M.D.
• Lucy Estrella, LAC
• Leeandra LD Etheridge
• Samara Ethier-Whitmore
• Shiri Etzioni, MD
• Aubrey Nicole Eubanks, PA-C
• Ryne Eubanks, ATC
• Eugene R. Almer MD PC (Scottsdale Psychiatric Services)
• Eulano Foot and Ankle P C

• Prosthodontics in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.