Individual provider Active NPI

Kristopher Kay Scholes, DMD

  • Dentist
  • Maricopa, AZ
National Provider Identifier
1902230295
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008814 Issued in AZ
Practice address
44480 W Honeycutt Rd
Suite 109
Maricopa, AZ 85138-2903
Phone
(520) 413-5555
NPI assigned
Aug 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D008814 AZ Primary

Addresses

Primary practice location

44480 W Honeycutt Rd
Suite 109
Maricopa, AZ 85138-2903

Mailing address

44480 W Honeycutt Rd
Suite 109
Maricopa, AZ 85138-2903
Phone (520) 413-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117002359 AZ Order and Referring Only - DentistPractitioner - Dentist 5193004943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008814AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
DD LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1902230295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT RD",
            "address_2": "SUITE 109",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382903",
            "telephone_number": "520-413-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT RD",
            "address_2": "SUITE 109",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382903",
            "telephone_number": "520-413-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLES",
        "first_name": "KRISTOPHER",
        "middle_name": "KAY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.