Scottsdale Plastics, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

40994 Issued in AZ

Legal business name

SCOTTSDALE PLASTICS, PLLC

Practice address

9377 E Bell Rd
Suite 367
Scottsdale, AZ 85260-1505

Phone

(480) 245-6380

Fax

(480) 245-6382

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert Granillo Bonillas, M.D.

Title

Owner/Physician

Phone

(480) 245-6380

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Plastics Doing business as

Locations

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1679920862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 367",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "480-245-6380",
            "fax_number": "480-245-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD",
            "address_2": "SUITE 367",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "480-245-6380",
            "fax_number": "480-245-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE PLASTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "BONILLAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRANILLO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-245-6380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "40994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scottsdale Physical Medicine & Rehabilitation
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• Scottsdale Physical Therapy Service, LTD
• Scottsdale Physicians Group PLC
• Scottsdale Plastic Surgeons, PLC
• Scottsdale Primary Care, PC
• Scottsdale Professional Pharmacy LTD
• Scottsdale Prosthodontics and Family Dentistry
• Scottsdale Prosthodontists II, PLLC
• Scottsdale Prosthodontists PC

• Plastic and Reconstructive Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.