DA VINCI DENTAL LLC (NPI# 1346628203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346628203 |
| Entity Type | Organization |
| Organization Name | DA VINCI DENTAL LLC |
| Other Organization Name | KALM DENTAL SPA |
| Practice Address |
7014 E Camelback Rd Suite 2145 Scottsdale AZ 85251-1227 |
| Mailing Address |
909 112th Ave Ne Suite P-104 Bellevue WA 98004-8580 |
| Practice Telephone | 4805009999 |
| Practice Fax Number | 8885075181 |
| Mailing Telephone | 4254099999 |
| Mailing Fax Number | 8885075181 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | BEAU J KELLER (OWNER) |
| Authorized Official Telephone | 4254099999 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D009161 | AZ | Dental Providers |
| Y | 122300000X | Dentist | DE00011082 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| KALM Dental Spa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619350857 | Da Vinci Dental LLC | Dentist | 909 112th Ave Ne, Suite P-104, Bellevue, WA 98004-8580 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DA VINCI DENTAL LLC | 909 112th Ave Ne, Suite# P-104, Bellevue, WA 98004-8589 |
| Street Address |
7014 E CAMELBACK RD SUITE 2145 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85251-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190663 | Andrew Roubos | Optometrist | 7014 E Camelback Rd, 2140, Scottsdale, AZ 85251-1227 | 2006-02-01 |
| 1356791545 | Shane Johnston | Optometrist | 7014 E Camelback Rd, Suite #590, Scottsdale, AZ 85251-1227 | 2016-06-17 |
| 1013043389 | Dr. Kenneth O'daniel & Assoc., PC | Optometrist | 7014 E Camelback Rd, Suite 2140, Scottsdale, AZ 85251-1227 | 2007-02-23 |
| 1215083225 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd, Scottsdale Fashion Square Mall, Scottsdale, AZ 85251-1227 | 2007-01-25 |
| 1952455289 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7014 E Camelback Rd, Scottsdale Fashion Square, Scottsdale, AZ 85251-1227 | 2007-01-23 |
| 1942269659 | Kenneth William O'daniel | Optometrist | 7014 E Camelback Rd, Suite 2140, Scottsdale, AZ 85251-1227 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1235785312 | Live Breathe Nutrition | Dietitian, Registered | 3295 N Drinkwater Blvd Suite 3, Scottsdale, AZ 85251 | 2019-08-14 |
| 1316505977 | Scottsdale Pulmonary and Critical Care, LLC | Internal Medicine | 7301 E. 2nd St., Suite 315, Scottsdale, AZ 85251 | 2019-05-30 |
| 1144887449 | Suzanne Berndt | Counselor | 7530 E Angus Drive, Scottsdale, AZ 85251 | 2019-05-22 |
| 1699243071 | Surgical Neuromonitoring Solutions, LLC | Psychiatry & Neurology | 6926 North Hayden Road C4-461, Scottsdale, AZ 85251 | 2018-11-05 |
| 1295202828 | Neuromonitoring Surgical Services, LLC | Psychiatry & Neurology | 13370 North Hayden Road #133-269, Scottsdale, AZ 85251 | 2018-11-01 |
| 1275048316 | Valley of The Sun Institute for Pain Management, Pllc | Physical Medicine & Rehabilitation | 4900 N Scottsdale Rd, Scottsdale, AZ 85251 | 2017-12-12 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| 1366988750 | Arika Cozzi | Specialist/Technologist | 8145 E Camelback Rd, Apt. #142, Scottsdale, AZ 85251 | 2017-01-10 |
| Find all providers in zip 85251 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456031 | Roger Ryan Roybal, Dds, Pllc | Dentist | 14300 N Northsight Blvd Ste 214, Scottsdale, AZ 85260-3677 | 2020-11-01 |
| 1750998969 | Christie Jacques | Dentist | 7410 E Sutton Dr, Scottsdale, AZ 85260-3915 | 2020-09-30 |
| 1992317143 | Justin S Dole | Dentist | 15125 N Scottsdale Rd Apt 303, Scottsdale, AZ 85254-3157 | 2020-08-19 |
| 1558971580 | 26 Solutions Pllc | Dentist | 17767 N Scottsdale Rd Ste 110, Scottsdale, AZ 85255-6590 | 2020-08-04 |
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1861059032 | Scottsdale Trails Dentistry, LLP | Dentist | 7750 E Mcdowell Rd Ste 107, Scottsdale, AZ 85257-3758 | 2019-05-23 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1720502974 | Alice W. Hsieh, Dds, Pllc | Dentist | 9097 E Desert Cove Ave Ste 240, Scottsdale, AZ 85260-6277 | 2017-07-31 |
| 1437671518 | Daniel Gold | Dentist | 5900 N Granite Reef Rd Ste 100, Scottsdale, AZ 85250 | 2017-07-11 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85251 |
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| 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.