Organization Active NPI

Osborn Road Dental LLC

Doing business as Dentistry of Old Town Scottsdale

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1912668641
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OSBORN ROAD DENTAL LLC
Doing business as
Dentistry of Old Town Scottsdale
Practice address
7449 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6448
Phone
(480) 945-3723
Fax
(480) 945-2067
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7449 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6448

Mailing address

7449 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6448
Phone (480) 945-3723

Other names 1

  • Dentistry of Old Town Scottsdale Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1912668641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7449 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516448",
            "telephone_number": "480-945-3723",
            "fax_number": "480-945-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7449 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516448",
            "telephone_number": "480-945-3723",
            "fax_number": "480-945-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORN ROAD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of Old Town Scottsdale",
            "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 Jan 5, 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.