Active NPI
Anita Chekuru, DMD
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1801255203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011293
- Practice address
- 8705 E McDowell Rd
Scottsdale, AZ 85257-3909 - Phone
- (480) 882-4545
- Fax
- (480) 882-5890
- NPI assigned
- Feb 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32739 | TX | |
| General Practice Dentistry | 1223G0001X | D011293 | AZ | Primary |
Addresses
Primary practice location
8705 E McDowell Rd
Scottsdale, AZ 85257-3909
Mailing address
7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545
Other practice location 1
16251 N Cave Creek Rd
Phoenix, AZ 85032-2976
Phone (480) 882-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124196 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32739 | TX | MD | Clinical Social Worker |
| D011293 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brident Dental Associates PC | Dentist | Past | Accepting new patients |
| Daniel Levi Haught LLC | Past | Accepting new patients | |
| Az Family and Kids Dental North LLC | Dentist | Past | Accepting new patients |
| Smiles of Round Rock PA | General Practice | Past | Accepting new patients |
| Az Family and Kids Dental Tempe LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- achekuru607534@direct.ochin.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Phoenix, AZ
- NPI 1336949973
-
- General Practice Dentistry
- Tempe, AZ
- NPI 1255043444
General Practice
-
- Dental Clinic/Center
- Tempe, AZ
- NPI 1427527332
-
- Dentist
- Round Rock, TX
- NPI 1710572920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1801255203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 N DREAMY DRAW DR STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204668",
"telephone_number": "480-882-4545",
"fax_number": "480-882-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 E MCDOWELL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852573909",
"telephone_number": "480-882-4545",
"fax_number": "480-882-5890"
}
],
"practiceLocations": [
{
"address_1": "16251 N Cave Creek Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850322976",
"country_code": "US",
"telephone_number": "480-882-4545",
"fax_number": "602-992-1953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEKURU",
"first_name": "ANITA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-15",
"last_updated": "2023-03-30",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32739",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124196",
"state": "AZ"
}
],
"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 Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.