EAST SCOTTSDALE PEDIATRIC DENTAL, PC (NPI# 1073982997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073982997 |
| Entity Type | Organization |
| Organization Name | EAST SCOTTSDALE PEDIATRIC DENTAL, PC |
| Other Organization Name | DENTAL ASSOCIATES FOR KIDS ONLY |
| Practice Address |
12020 E Shea Blvd Ste 8 Scottsdale AZ 85259-4179 |
| Practice Telephone | 4807675600 |
| Mailing Telephone | 4807675600 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-10-18 |
| Authorized Official Name | DR. CANDACE H VENEBERG (DIRECTOR) |
| Authorized Official Telephone | 5018505110 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D009209 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 064282 | 05 |
| Other Name | Type Code |
|---|---|
| Dental Associates For Kids Only | Doing Business As Name - Organization |
| Street Address |
12020 E SHEA BLVD STE 8 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-4179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619073814 | Candace H Veneberg | Dentist | 12020 E Shea Blvd, Suite 8, Scottsdale, AZ 85259-4179 | 2006-09-15 |
| 1437209301 | Lee M Weinstein | Dentist | 12020 E Shea Blvd, #8, Scottsdale, AZ 85259-4179 | 2007-01-11 |
| 1730278128 | Patrice Staples Winterholler | Dentist | 12020 E Shea Blvd, Suite 8, Scottsdale, AZ 85259-4179 | 2006-10-12 |
| 1689763070 | Chris Welch Winterholler | Dentist | 12020 E Shea Blvd, Suite 8, Scottsdale, AZ 85259-4179 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138121 | Double Lazy H Pllc | Clinic/Center | 7904 E Chaparral Rd # A109, Scottsdale, AZ 85250-7210 | 2020-03-09 |
| 1427616143 | Studio B Smiles | Clinic/Center | 8952 E Desert Cove Ave Ste 108, Scottsdale, AZ 85260-6776 | 2019-05-29 |
| 1639636020 | Az Dentist | Clinic/Center | 10245 E Via Linda Ste 226, Scottsdale, AZ 85258-5345 | 2019-02-21 |
| 1497229744 | Daniel Gold Dds Pllc | Clinic/Center | 5900 N Granite Reef Rd Ste 101, Scottsdale, AZ 85250-6279 | 2019-01-18 |
| 1548733843 | Dr George Christakos Family Dentistry | Clinic/Center | 8573 E Princess Dr Ste 201, Scottsdale, AZ 85255-7822 | 2019-01-09 |
| 1417423971 | Randall J Johnson Dds Ms PC | Clinic/Center | 7600 E Camelback Rd Ste 4, Scottsdale, AZ 85251-2106 | 2018-10-22 |
| 1023598752 | Great Big Smiles Pllc | Clinic/Center | 7032 E Cochise Rd Ste 100, Scottsdale, AZ 85253-4565 | 2018-08-21 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1134616378 | Scottsdale Implant and Cosmetic Dentistry LLC | Clinic/Center | 4910 E Greenway Rd Ste 7, Scottsdale, AZ 85254-1653 | 2018-04-13 |
| 1205351392 | Arcadia Pediatric Dentistry, LLC | Clinic/Center | 5717 E Thomas Rd Ste 110, Scottsdale, AZ 85251-7509 | 2017-08-09 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
Please comment or provide details below to improve the information on EAST SCOTTSDALE PEDIATRIC DENTAL, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.