Individual provider Active NPI

Matthew L Mitchell, DDS

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1942475991
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5075 Issued in AZ
Practice address
7500 E Angus Dr
Suite 2
Scottsdale, AZ 85251-6419
Phone
(480) 947-4636
Fax
(480) 947-1522
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5075 AZ Primary

Addresses

Primary practice location

7500 E Angus Dr
Suite 2
Scottsdale, AZ 85251-6419

Mailing address

7500 E Angus Dr
Suite 2
Scottsdale, AZ 85251-6419
Phone (480) 947-4636

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
I20170515000919 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022395342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5075AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew L Mitchell DDS CurrentSince Jul 22, 2025 Accepting new patients

Locations

7500 E Angus Dr
Ste 2
Scottsdale, AZ 85251
Phone (480) 947-4636

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1942475991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E ANGUS DR",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516419",
            "telephone_number": "480-947-4636",
            "fax_number": "480-947-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 E ANGUS DR",
            "address_2": "SUITE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516419",
            "telephone_number": "480-947-4636",
            "fax_number": "480-947-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.