Uptown Pediatric Dental Group, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UPTOWN PEDIATRIC DENTAL GROUP, PLLC

Practice address

1515 E Missouri Ave Ste 103
Phoenix, AZ 85014-2443

Phone

(602) 279-2981

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Ernest Nehrer, DDS

Title

Owner Doctor

Phone

(831) 234-5526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1003458688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 N 18TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205236",
            "telephone_number": "312-345-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "602-279-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN PEDIATRIC DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "NEHRER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "831-234-5526",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celine Renee Upton, DDS
• Uptown Facility, LLC
• Uptown Family Dentistry & Orthodontics LLC
• Uptown Medical LLC
• Uptown Painstop, LLC
• Uptown Psychiatry LLC
• Uptown Psychiatry PLLC
• Uptown Smiles Dentistry
• Uptown Surgery Center, LLC
• Upward for Children and Families

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.