Organization Active NPI

Fitzgerald Professional Corporation

  • Prosthodontics
  • Scottsdale, AZ
National Provider Identifier
1801049010
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
FITZGERALD PROFESSIONAL CORPORATION
Practice address
7054 East Cochise Rd
B-230
Scottsdale, AZ 85253-4550
Phone
(480) 922-9220
Fax
(480) 922-0575
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Marvin H. Fitzgerald
Title
Owner/President
Phone
(480) 922-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

7054 East Cochise Rd
B-230
Scottsdale, AZ 85253-4550

Mailing address

7054 East Cochise Rd
B-230
Scottsdale, AZ 85253-4550
Phone (480) 922-9220

National Provider Directory

National Provider Directory

Locations

7054 E Cochise Rd
Ste B230
Scottsdale, AZ 85253
Phone (480) 471-6132

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1801049010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7054 EAST COCHISE RD",
            "address_2": "B-230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534550",
            "telephone_number": "480-922-9220",
            "fax_number": "480-922-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7054 EAST COCHISE RD",
            "address_2": "B-230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852534550",
            "telephone_number": "480-922-9220",
            "fax_number": "480-922-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-922-9220"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "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 Oct 31, 2008; 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.