SCOTTSDALE FAMILY DENTISTRY
NPI 1023523396
Clinic/Center - Dental in Scottsdale, AZ

NPI Status: Active since December 08, 2017

Contact Information

8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 607-6937
Fax: (480) 607-6973

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 03D2111194
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-31-2026

About SCOTTSDALE FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Scottsdale Family Dentistry, a provider established in Scottsdale, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1023523396 assigned on December 2017. The practitioner's primary taxonomy code is 261QD0000X with license number D009597 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Scottsdale Family Dentistry. The authorized official of this NPI record is Dr. Kamran Fattah Dmd (President / General Dentist)

NPI
1023523396
Provider Legal Name
FATTAH FAMILY DENTISTRY, PC
Other Organization Name
SCOTTSDALE FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8055 N VIA DE NEGOCIO SCOTTSDALE, AZ 85258
Location Phone
(480) 607-6937
Location Fax
(480) 607-6973
Mailing Address
7961 E SOFTWIND DR SCOTTSDALE, AZ 85255
Mailing Phone
(480) 361-1100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2017
Last Update Date
12-08-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
D009597
License State
AZ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KAMRAN FATTAH DMD

Authorized Official Title
PRESIDENT / GENERAL DENTIST
Authorized Official Phone
(503) 330-2847

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2111194
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 01, 2024
Certificate Expiration Date
March 31, 2026
Laboratory Director
PATTI FLINT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scottsdale Family Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023523396, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 0 + 2 + 6 + 3 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1023523396.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ 85258
Dentist (General Practice)
8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ 85258
Dentist (General Practice)
8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ 85258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023523396, enumerated as an "organization" on December 08, 2017.

The provider is located at 8055 N VIA DE NEGOCIO SCOTTSDALE, AZ 85258 and the phone number is (480) 607-6937.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.