NPIMap

Organization Active NPI

Goodyear Endodontics, P.C.

  • Dental Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1003070392
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3266 Issued in AZ
Legal business name
GOODYEAR ENDODONTICS, P.C.
Practice address
1646 N Litchfield Rd
Suite 260
Goodyear, AZ 85395-1203
Phone
(623) 535-7899
Fax
(623) 535-7821
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Robert Stephen Kane, D.D.S.
Title
President
Phone
(623) 535-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3266 AZ Primary

Addresses

Primary practice location

1646 N Litchfield Rd
Suite 260
Goodyear, AZ 85395-1203

Mailing address

1646 N Litchfield Rd
Suite 260
Goodyear, AZ 85395-1203
Phone (623) 535-7899

National Provider Directory

National Provider Directory
Tax ID family
Goodyear Endodontics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1003070392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD",
            "address_2": "SUITE 260",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951203",
            "telephone_number": "623-535-7899",
            "fax_number": "623-535-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD",
            "address_2": "SUITE 260",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951203",
            "telephone_number": "623-535-7899",
            "fax_number": "623-535-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-535-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.