Paradise Valley Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

AZ4495 Issued in AZ

Legal business name

PARADISE VALLEY DENTAL GROUP PC

Practice address

6865 E. Becker Lane #100
Scottsdale, AZ 85254

Phone

(480) 483-8067

Fax

(480) 483-8471

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barry J Nestlerode, DDS

Title

Dentist - Owner

Phone

(480) 483-8067

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Abraham Abaie, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1477641256
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821135732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 E. BECKER LANE #100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-483-8067",
            "fax_number": "480-483-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 E. BECKER LANE #100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-483-8067",
            "fax_number": "480-483-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NESTLERODE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "480-483-8067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ4495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "410439",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "40649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradise Chiropractic PLLC
• Paradise Healing Retreat
• Paradise Manor 1, LLC
• Paradise Manor 1,LLC
• Paradise Pediatrics
• Paradise Valley Medical Clinic PC
• Paradise Valley OB/GYN
• Paradise Valley Surgicare LLC
• Michele Pardon, RN
• Denise Ann Parish, RN

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.