NPIMap

Organization Active NPI

Scottsdale Dentistry LLC

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1982154126
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6509 Issued in AZ
Legal business name
SCOTTSDALE DENTISTRY LLC
Practice address
8406 E Shea Blvd
#101
Scottsdale, AZ 85260-6659
Phone
(480) 699-6444
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Michael Mazaheri
Title
Owner
Phone
(480) 699-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6509 AZ Primary

Addresses

Primary practice location

8406 E Shea Blvd
#101
Scottsdale, AZ 85260-6659

Mailing address

8406 E Shea Blvd
#101
Scottsdale, AZ 85260-6659
Phone (480) 699-6444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1982154126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD",
            "address_2": "#101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-699-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 E SHEA BLVD",
            "address_2": "#101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606659",
            "telephone_number": "480-699-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MAZAHERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-699-6444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6509",
            "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 Oct 12, 2016; 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.