Individual provider Active NPI

Sara M Vizcarra, D.D.S.

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1922047331
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6556 Issued in AZ
Practice address
10465 E Pinnacle Peak Pkwy
Suite 101
Scottsdale, AZ 85255-8099
Phone
(480) 473-8920
Fax
(480) 473-0615
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6556 AZ Primary

Addresses

Primary practice location

10465 E Pinnacle Peak Pkwy
Suite 101
Scottsdale, AZ 85255-8099

Mailing address

10465 E Pinnacle Peak Pkwy
Suite 101
Scottsdale, AZ 85255-8099
Phone (480) 473-8920

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
I20160812001660 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133413156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6556AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Az Sleep and TMJ PLC Past Accepting new patients
Sara Vizcarra DDS PLC General Practice PastSince May 1, 2006 Accepting new patients

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1922047331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 E PINNACLE PEAK PKWY",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558099",
            "telephone_number": "480-473-8920",
            "fax_number": "480-473-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 E PINNACLE PEAK PKWY",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558099",
            "telephone_number": "480-473-8920",
            "fax_number": "480-473-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRA",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.