Individual provider Active NPI

Chad William Achatz, DMD

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1699220863
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009991 Issued in AZ
Practice address
7342 E Thomas Rd
Scottsdale, AZ 85251-7219
Phone
(480) 935-2424
NPI assigned
Aug 17, 2016
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002235 OR Order and Referring Only - DentistPractitioner - Dentist 8022379650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60682826WAMDDentist
D009991AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.