NPIMap

Organization Active NPI

Polished Holdings, Inc.

Doing business as Poished The Dental Spa

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1649695339
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7870 Issued in AZ
Legal business name
POLISHED HOLDINGS, INC.
Doing business as
Poished The Dental Spa
Practice address
15811 N Frank Lloyd Wright Blvd
Suite 130
Scottsdale, AZ 85260-3000
Phone
(480) 767-1077
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mr. Taylor Blackwood
Title
President
Phone
(901) 275-0572

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D7870 AZ Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H007556 AZ
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X H007508 AZ

Addresses

Primary practice location

15811 N Frank Lloyd Wright Blvd
Suite 130
Scottsdale, AZ 85260-3000

Mailing address

15210 N Scottsdale Rd
Suite 240
Scottsdale, AZ 85254-8124

Other names 1

  • Poished The Dental Spa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ageless Men's Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15210 N Scottsdale Rd
Ste 240
Scottsdale, AZ 85254

15811 N Frank Lloyd Wright Blvd
Ste 130
Scottsdale, AZ 85260
Phone (480) 767-1077

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1649695339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 N SCOTTSDALE RD",
            "address_2": "SUITE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603000",
            "telephone_number": "480-767-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-275-0572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7870",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H007556",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H007508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poished The Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2014; 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.