Individual provider Active NPI

John E Maslak, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1023144482
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D2578 Issued in AZ
Practice address
4025 W Bell Rd Ste 1B
Phoenix, AZ 85053-2748
Phone
(602) 439-4900
Fax
(602) 978-6414
NPI assigned
Feb 27, 2007
Last updated
Oct 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D2578 AZ Primary

Addresses

Primary practice location

4025 W Bell Rd Ste 1B
Phoenix, AZ 85053-2748

Mailing address

4025 W Bell Rd Ste 1B
Phoenix, AZ 85053-2748
Phone (602) 439-4900

Other practice location 1

4901 W Bell Rd
Suite 1
Glendale, AZ 85308
Phone (602) 439-4900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D2578AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John Maslak DDS PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1023144482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-439-4900",
            "fax_number": "602-978-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 1B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532748",
            "telephone_number": "602-439-4900",
            "fax_number": "602-978-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 W Bell Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "85308",
            "country_code": "US",
            "telephone_number": "602-439-4900",
            "fax_number": "602-978-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASLAK",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.