Individual provider Active NPI

Daniella A Vasquez, DENTIST-DDS

  • Pediatric Dentistry
  • Scottsdale, AZ
National Provider Identifier
1649352378
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D5864 Issued in AZ
Practice address
5533 E Bell Rd
Suite 115
Scottsdale, AZ 85254-1228
Phone
(602) 296-3235
Fax
(602) 296-3239
NPI assigned
Oct 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D5864 AZ Primary

Addresses

Primary practice location

5533 E Bell Rd
Suite 115
Scottsdale, AZ 85254-1228

Mailing address

5533 E Bell Rd Ste 115
Scottsdale, AZ 85254-1256
Phone (602) 296-3235

Other identifiers 1

IdentifierTypeStateIssuer
797425MedicaidAZ

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
D5864AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
A Small World Pediatric Dentistry Pediatric Dentistry 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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649352378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541256",
            "telephone_number": "602-296-3235",
            "fax_number": "602-296-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541228",
            "telephone_number": "602-296-3235",
            "fax_number": "602-296-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "DANIELLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DENTIST-DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D5864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797425",
            "state": "AZ"
        }
    ],
    "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 Jul 9, 2007; 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.