Organization Active NPI

Marbella Dental Consultants LLC

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1700602307
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARBELLA DENTAL CONSULTANTS LLC
Practice address
4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539
Phone
(602) 996-1660
Fax
(602) 996-2321
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Mrs. Paola Fann
Title
Owner
Phone
(420) 299-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539

Mailing address

4845 E Thunderbird Rd Ste 3
Scottsdale, AZ 85254-3539
Phone (602) 996-1660

Other names 1

  • Marbella Dental Studios Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1700602307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543539",
            "telephone_number": "602-996-1660",
            "fax_number": "602-996-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD STE 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543539",
            "telephone_number": "602-996-1660",
            "fax_number": "602-996-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA DENTAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "FANN",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "420-299-2874",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marbella Dental Studios",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 27, 2024; 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.