NPIMap

Organization Active NPI

Associated Dental Care Providers

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1033252002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS
Practice address
4159 W Thunderbird Rd
Phoenix, AZ 85053-5341
Phone
(602) 938-1312
Fax
(602) 863-6655
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura L Cleveland
Title
System Coordinator
Phone
(520) 290-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4159 W Thunderbird Rd
Phoenix, AZ 85053-5341

Mailing address

4159 W Thunderbird Rd
Phoenix, AZ 85053-5341
Phone (602) 938-1312

National Provider Directory

National Provider Directory
Tax ID family
Associated Dental Care Providers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

4159 W Thunderbird Rd
Phoenix, AZ 85053
Phone (602) 843-8866

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033252002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 W THUNDERBIRD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535341",
            "telephone_number": "602-938-1312",
            "fax_number": "602-863-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 W THUNDERBIRD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535341",
            "telephone_number": "602-938-1312",
            "fax_number": "602-863-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SYSTEM COORDINATOR",
        "authorized_official_telephone_number": "520-290-9702"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 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.