Goodyear Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOODYEAR DENTAL LLC

Practice address

650 N Estrella Pkwy Ste A5
Goodyear, AZ 85338-9283

Phone

(623) 322-1399

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Luz M Perez

Title

Office Manager

Phone

(602) 577-4065

Specialties & licenses 1

Addresses

Other names 1

• Goodyear Dental LLC Doing business as

Tax ID family

Goodyear Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodyear Dental LLC

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1790449742
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Goodyear Dental LLC

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1790449742
  NPPES parent name

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1023762895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ESTRELLA PKWY STE A5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389283",
            "telephone_number": "623-322-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N ESTRELLA PKWY STE A5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389283",
            "telephone_number": "623-322-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-577-4065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodyear Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodyear Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Neighbor Assisted Living Services, Inc.
• Good Night Sleep Wellness Centers, Inc
• Good Years Family Medicine LLC
• Dustin Ryan Goodwin Jr.
• Goodyear Assisted Living Home, LLC
• Goodyear Dental LLC
• Goodyear Endodontics, P.C.
• Goodyear Endodontics, P.C.
• Goodyear Eye Specialists LLC
• Goodyear Medical Group LLC

• Dental Clinic/Center in Goodyear, AZ
• Providers in Goodyear, 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 Feb 16, 2022; 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.