Active NPI
Chad William Achatz, DMD
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1699220863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009991
- Practice address
- 7342 E Thomas Rd
Scottsdale, AZ 85251-7219 - Phone
- (480) 935-2424
- NPI assigned
- Aug 17, 2016
- Last updated
- Feb 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60682826 | WA | |
| Dentist | 122300000X | D009991 | AZ | |
| Dentist | 122300000X | D10533 | OR | |
| General Practice Dentistry | 1223G0001X | D009991 | AZ | Primary |
Addresses
Primary practice location
7342 E Thomas Rd
Scottsdale, AZ 85251-7219
Mailing address
8878 E Sheena Dr
Scottsdale, AZ 85260-7058
Phone (971) 235-3570
Other practice location 1
5809 SW Taylor St
Portland, OR 97221-1548
Phone (971) 235-3570
Other practice location 2
10260 N 90th St
Scottsdale, AZ 85258
Phone (480) 941-3907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180222002235 | OR | Order and Referring Only - Dentist | 8022379650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60682826 | WA | MD | Dentist |
| D009991 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Modern Dentistry and Orthodontics, LLP | General Practice | 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.
-
dba Scottsdale Modern Dentistry and Orthodontics
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1730434515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1699220863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8878 E SHEENA DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852607058",
"telephone_number": "971-235-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7342 E THOMAS RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517219",
"telephone_number": "480-935-2424"
}
],
"practiceLocations": [
{
"address_1": "5809 SW Taylor St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972211548",
"country_code": "US",
"telephone_number": "971-235-3570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10260 N 90th St",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "85258",
"country_code": "US",
"telephone_number": "480-941-3907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACHATZ",
"first_name": "CHAD",
"middle_name": "WILLIAM",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-17",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60682826",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009991",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10533",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009991",
"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 Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.