Individual provider Active NPI

Irma Iskandar, D.M.D., M.S.

  • Periodontics
  • Scottsdale, AZ
National Provider Identifier
1720358542
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D008606 Issued in AZ
Practice address
6345 E Bell Rd
#1
Scottsdale, AZ 85254-6452
Phone
(480) 607-3600
Fax
(480) 998-9289
NPI assigned
Jan 10, 2012
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE60182596 WA
Periodontics 1223P0300X D008606 AZ Primary

Addresses

Primary practice location

6345 E Bell Rd
#1
Scottsdale, AZ 85254-6452

Mailing address

6345 E Bell Rd
#1
Scottsdale, AZ 85254-6452
Phone (480) 607-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150911000835 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527375377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D008606AZMDPeriodontist
DE60182596WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - Bell Road and 64TH Street P.C. 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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1720358542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 E BELL RD",
            "address_2": "#1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546452",
            "telephone_number": "480-607-3600",
            "fax_number": "480-998-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 E BELL RD",
            "address_2": "#1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546452",
            "telephone_number": "480-607-3600",
            "fax_number": "480-998-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "IRMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60182596",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D008606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.