NPIMap

Organization Active NPI

Scottsdale Surgical Arts, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
National Provider Identifier
1992997290
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D4868 Issued in AZ
Legal business name
SCOTTSDALE SURGICAL ARTS, P.C.
Practice address
10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5504
Phone
(480) 922-9933
Fax
(480) 607-9120
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Carl Jeffrey Gassmann, M.D., D.D.S.NPI 1275681330
Title
Business Owner
Phone
(480) 922-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X D4868 AZ Primary

Addresses

Primary practice location

10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5504

Mailing address

10603 N Hayden Rd
Suite H-112
Scottsdale, AZ 85260-5504
Phone (480) 922-9933

Other identifiers 3

IdentifierTypeStateIssuer
0801420OtherAZBCBS
898101OtherAZUNITED CONCORDIA
2004003OtherAZAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1992997290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD",
            "address_2": "SUITE H-112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605504",
            "telephone_number": "480-922-9933",
            "fax_number": "480-607-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD",
            "address_2": "SUITE H-112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605504",
            "telephone_number": "480-922-9933",
            "fax_number": "480-607-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE SURGICAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "GASSMANN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "480-922-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D4868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0801420",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "898101",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2004003",
            "state": "AZ"
        }
    ],
    "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 Aug 10, 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.