Active NPI
Delaine A. Anthony, DMD
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1013902451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4488
- Practice address
- 2181 E Warner Rd
#104
Tempe, AZ 85284-3518 - Phone
- (480) 812-8088
- Fax
- (480) 812-8236
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4488 | AZ | Primary |
Addresses
Primary practice location
2181 E Warner Rd
#104
Tempe, AZ 85284-3518
Mailing address
2181 E Warner Rd
#104
Tempe, AZ 85284-3518
Phone (480) 812-8088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4488 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1013902451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2181 E WARNER RD",
"address_2": "#104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843518",
"telephone_number": "480-812-8088",
"fax_number": "480-812-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2181 E WARNER RD",
"address_2": "#104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843518",
"telephone_number": "480-812-8088",
"fax_number": "480-812-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "DELAINE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.