Active NPI
Matthew L Mitchell, DDS
- Dentist
- Scottsdale, AZ
National Provider Identifier
1942475991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5075
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170515000919 | AZ | Order and Referring Only - Oral Surgery | 8022395342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5075 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew L Mitchell DDS | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.