Organization Active NPI

Scottsdale Trails Dentistry, LLP

Doing business as Scottsdale Trails Dentistry

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1861059032
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SCOTTSDALE TRAILS DENTISTRY, LLP
Doing business as
Scottsdale Trails Dentistry
Practice address
7750 E McDowell Rd Ste 107
Scottsdale, AZ 85257-3758
Phone
(480) 493-3470
Fax
(480) 730-3225
NPI assigned
May 23, 2019
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Mehran Khanbabapour, DDS
Title
Owner
Phone
(480) 493-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

7750 E McDowell Rd Ste 107
Scottsdale, AZ 85257-3758

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Scottsdale Trails Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7750 E McDowell Rd
Ste 107
Scottsdale, AZ 85257
Phone (480) 493-3470

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1861059032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E MCDOWELL RD STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573758",
            "telephone_number": "480-493-3470",
            "fax_number": "480-730-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE TRAILS DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "KHANBABAPOUR",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-493-3470",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Trails Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scottsdale Trails Dentistry",
            "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 Apr 13, 2022; 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.