Organization Active NPI

Samm Plisky DDS LLC

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1649484288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5286 Issued in AZ
Legal business name
SAMM PLISKY DDS LLC
Practice address
8406 E Shea Blvd Ste 101
Scottsdale, AZ 85260-6659
Phone
(480) 483-3755
Fax
(480) 483-0154
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Danielle Nicole Samm Plisky, DDSNPI 1225259633
Title
Owner
Phone
(480) 483-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D5286 AZ Primary

Addresses

Primary practice location

8406 E Shea Blvd Ste 101
Scottsdale, AZ 85260-6659

Mailing address

8406 E Shea Blvd Ste 101
Scottsdale, AZ 85260-6659
Phone (480) 483-3755

National Provider Directory

National Provider Directory

Locations

8406 E Shea Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 483-3755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649484288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-483-3755",
            "fax_number": "480-483-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-483-3755",
            "fax_number": "480-483-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMM PLISKY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMM PLISKY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-483-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.