Ids Dental Services PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IDS DENTAL SERVICES PLLC

Practice address

2620 S 83Rd Ave
Ste 104
Phoenix, AZ 85043-7203

Phone

(623) 936-6665

NPI assigned

Aug 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca S Schaffer, DDSNPI 1912067596

Title

Owner/Member

Phone

(732) 740-7465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Susan Schaffer, D.D.S.

  • Orofacial Pain Dentistry
  • Phoenix, AZ
  • NPI 1912067596

  General Practice

  Medicare reassignment NPD Authorized official
• Joseph R Cohen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1932386851
  NPD
• Mai Ly Duong, D.M.D.

  • Dentist
  • Phoenix, AZ
  • NPI 1548609076

  General Practice

  NPD (past)
• Douglas Law, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1699813261
  NPD (past)
• Mehrdad Joseph Mehranfar, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1427186071
  NPD (past)
• Golsa Arad, DDS, MS

  • Prosthodontics
  • Santa Barbara, CA
  • NPI 1780161398
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1790063295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 N 2ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215607",
            "telephone_number": "602-639-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 83RD AVE",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437203",
            "telephone_number": "623-936-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDS DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "732-740-7465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Identity Dental Specialties
• Identity Hormones LLC
• Nauman Idrees, MBBS
• Samer Imad Idriss, DO
• Alexandra Carolina Idrovo, MD
• Monica Idstein, PT, DPT
• Amy Ienni, LMHC
• Saido Igal
• April Iglesias-Uriarte, WHNP
• Debra Iglesias, FNP-BC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.