Active NPI
Amy Marie Nordquist, D.D.S.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1023365764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008427
- Practice address
- 15215 S 48TH St Ste 190
Phoenix, AZ 85044-9140 - Phone
- (480) 706-0029
- NPI assigned
- Aug 13, 2012
- Last updated
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | D008427 | AZ | Primary |
Addresses
Primary practice location
15215 S 48TH St Ste 190
Phoenix, AZ 85044-9140
Mailing address
1202 E Zion Way
Chandler, AZ 85249-5191
Phone (480) 706-0029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820010881 | CA | Order and Referring Only - Dentist | 7810202736 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffery a Kohler, DDS, PC | Past | Accepting new patients | |
| Las Tiendas Dental Group, LLP | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Phoenix, AZ
- NPI 1033324553
-
dba Dentists of Chandler
- General Practice Dentistry
- Chandler, AZ
- NPI 1609962760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1023365764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 E ZION WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852495191",
"telephone_number": "480-706-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 S 48TH ST STE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850449140",
"telephone_number": "480-706-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDQUIST",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008427",
"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 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.