THE REAL DR. PHOENIX, LLC
NPI 1508755323
Dentist - General Practice in Scottsdale, AZ

Active since June 30, 2025
6920 E SHEA BLVD STE 101, SCOTTSDALE, AZ 85254(480) 991-3244(480) 922-9253 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Real Dr. Phoenix, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE REAL DR. PHOENIX, LLC (NPI 1508755323), doing business as Scottsdale Dental Aesthetics, is a healthcare organization registered as a general practice in Scottsdale, Arizona and active in the NPI registry since June 2025. The organization lists Omar Karaboulad, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1508755323
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE REAL DR. PHOENIX, LLC
Location Address6920 E SHEA BLVD STE 101Scottsdale, AZ 85254-6185
Mailing Address6920 E Shea Blvd Ste 101Scottsdale, AZ 85254-6185 · (480) 991-3244 · Fax (480) 922-9253
Fax(480) 922-9253
Organization SubpartNo
Authorized OfficialOmar KarabouladOwner/doctor · (480) 991-3244
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
NPI 1508755323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6920 E SHEA BLVD STE 101, Scottsdale, AZ 85254

Other Names 1

Doing Business AsScottsdale Dental Aesthetics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
6920 E SHEA BLVD STE 101
SCOTTSDALE, AZ 85254
Dentist
6920 E SHEA BLVD STE 101
SCOTTSDALE, AZ 85254
Dentist
6920 E SHEA BLVD STE 101
SCOTTSDALE, AZ 85254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Real Dr. Phoenix, LLC's NPI number?

The NPI number for The Real Dr. Phoenix, LLC is 1508755323. It was assigned to this organization in the NPPES registry on June 30, 2025. The provider is doing business as Scottsdale Dental Aesthetics.

Where is The Real Dr. Phoenix, LLC located?

The Real Dr. Phoenix, LLC is located at 6920 E Shea Blvd Ste 101, Scottsdale, AZ 85254. The listed phone number is (480) 991-3244.

What is The Real Dr. Phoenix, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for The Real Dr. Phoenix, LLC was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.