Organization Active NPI

Diana a Batoon, DMD,PC

Doing business as Bonita Dental

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1831381086
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4819 Issued in AZ
Legal business name
DIANA A BATOON, DMD,PC
Doing business as
Bonita Dental
Practice address
11111 N. Scottsdale Road
Suite # 130
Scottsdale, AZ 85254-6734
Phone
(480) 776-0643
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Diana A Batoon, DMDNPI 1063561553
Title
President
Phone
(480) 776-0643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4819 AZ Primary

Addresses

Primary practice location

11111 N. Scottsdale Road
Suite # 130
Scottsdale, AZ 85254-6734

Mailing address

11111 N. Scottsdale Road
Suite # 130
Scottsdale, AZ 85254-6734
Phone (480) 776-0643

Other names 1

  • Bonita Dental Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2170292Diana a Batoon, DMD, PC11111 N Scottsdale Rd Suite 130, Scottsdale, AZ 85254Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

11111 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85254
Phone (480) 776-0643

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1831381086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 N. SCOTTSDALE ROAD",
            "address_2": "SUITE # 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546734",
            "telephone_number": "480-776-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 N. SCOTTSDALE ROAD",
            "address_2": "SUITE # 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546734",
            "telephone_number": "480-776-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA A BATOON, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "BATOON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-776-0643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.