Organization Active NPI

Dental Center of Scottsdale PLLC

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1891318416
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CENTER OF SCOTTSDALE PLLC
Practice address
6945 E. Sahuaro
Dr. Ste a-3
Scottsdale, AZ 85254
Phone
(480) 951-3333
Fax
(980) 951-0436
NPI assigned
May 19, 2020
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Jonathan Kalika, DMO
Title
Owner/Dentist
Phone
(480) 457-0996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

6945 E. Sahuaro
Dr. Ste a-3
Scottsdale, AZ 85254

Mailing address

6945 E. Sahuaro
Dr. Ste a-3
Scottsdale, AZ 85254
Phone (480) 951-3333

Other identifiers 1

IdentifierTypeStateIssuer
1639230329MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6945 E Sahuaro Dr
Ste A3
Scottsdale, AZ 85254
Phone (480) 951-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1891318416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 E. SAHUARO",
            "address_2": "DR. STE A-3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-951-3333",
            "fax_number": "980-951-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 E. SAHUARO",
            "address_2": "DR. STE A-3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-951-3333",
            "fax_number": "980-951-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF SCOTTSDALE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-457-0996",
        "authorized_official_credential": "DMO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639230329",
            "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 May 19, 2020; 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.