Payson Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAYSON DENTAL CARE PC

Practice address

13825 N Northsight Blvd Ste 120
Scottsdale, AZ 85260-3684

Phone

(480) 767-8400

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Mullins

Title

Office Manager

Phone

(928) 474-2200

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1811552128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ST HWY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414930",
            "telephone_number": "928-474-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 N NORTHSIGHT BLVD STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603684",
            "telephone_number": "480-767-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E St Hwy 260",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855414930",
            "country_code": "US",
            "telephone_number": "928-474-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAYSON DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-474-2200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paxxon Healthcare Services LLC
• Katayoun N Paydar, RD
• Christopher S Payne, DDS
• Nicolette Payne
• Kristen S Paynter, M.D.
• David E Payton, PA-C
• David E Paz, MD
• PB & J-S LLC
• PB Medical Group of Arizona, LLC
• Charissa Leocadia Pacis Pe Benito, M.D.

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 Jan 18, 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.