Vasper Dental Management Services, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VASPER DENTAL MANAGEMENT SERVICES, LLC

Practice address

3614 N 15TH Ave
Suite B
Phoenix, AZ 85015-5576

Phone

(602) 248-9614

Fax

(602) 274-2890

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Vasquez, M.D.

Title

Operational Director

Phone

(602) 248-9614

Specialties & licenses 1

Addresses

Other names 1

• CONTINENTAL DENTAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013066828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 N 15TH AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155576",
            "telephone_number": "602-248-9614",
            "fax_number": "602-274-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 N 15TH AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155576",
            "telephone_number": "602-248-9614",
            "fax_number": "602-274-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASPER DENTAL MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OPERATIONAL DIRECTOR",
        "authorized_official_telephone_number": "602-248-9614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTINENTAL DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kushang Vashi, RPH
• Laura Vasile
• Dzhuliyan Vasilev, MD
• Sirisha Vasireddy, DMD
• Alexandra Jean Vasos, PA-C
• Andrea Nicole Vasquez, NP
• Danny Ray Vasquez
• Gabriela Catalina Vasquez
• Jasmin Vasquez, PA-C
• Jennifer Roxanne Vasquez, M.S., BCBA

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.