Active NPI
Dental Center of Scottsdale PLLC
- Dentist
- Scottsdale, AZ
National Provider Identifier
1891318416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639230329 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1740240761
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
- Karilyn Anne Denney, P.A.
- Dennis E. Weiland, MD, PC
- Erica Denorscia, MA, LASAC
- Carla Marie Dent
- Dental Associates for Kids Only
- Dental Day Spa Inc (Pure Dental)
- Dental Equity Partners (Smile Clinique Scottsdale)
- Dental Facial Imaging, LLC (DBA: Dental Imaging Centers)
- Dental Implant Institute PLLC
- Dental Salon Scottsdale
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.