NPIMap

Organization Active NPI

Scottsdale Dental Rehabilitation CNTR LTD

Doing business as Scottsdale Dental Smiles Design

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1962691113
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
808 Issued in AZ
Legal business name
SCOTTSDALE DENTAL REHABILITATION CNTR LTD
Doing business as
Scottsdale Dental Smiles Design
Practice address
7170 E McDonald Ave
Ste 1
Scottsdale, AZ 85253
Phone
(480) 946-3333
Fax
(480) 922-2763
NPI assigned
Oct 23, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Richard J Croft, DDS
Title
President
Phone
(480) 946-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 808 AZ Primary

Addresses

Primary practice location

7170 E McDonald Ave
Ste 1
Scottsdale, AZ 85253

Mailing address

7170 E McDonald Ave
Ste 1
Scottsdale, AZ 85253
Phone (480) 946-3333

Other names 1

  • Scottsdale Dental Smiles Design Doing business as

National Provider Directory

National Provider Directory

Locations

7170 E McDonald Dr
Ste 1
Scottsdale, AZ 85253
Phone (480) 946-3333

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1962691113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 E MCDONALD AVE",
            "address_2": "STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-946-3333",
            "fax_number": "480-922-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 E MCDONALD AVE",
            "address_2": "STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "480-946-3333",
            "fax_number": "480-922-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE DENTAL REHABILITATION CNTR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-946-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Dental Smiles Design",
            "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 Oct 23, 2007; 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.