Superior Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D06161 Issued in AZ

Legal business name

SUPERIOR FAMILY DENTAL CARE

Practice address

230 W Main St
Superior, AZ 85173-2638

Phone

(520) 689-2191

NPI assigned

Apr 2, 2015

Last updated

Apr 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Bigler

Title

Dentist/ Owner

Phone

(520) 689-2191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1033504469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W MAIN ST",
            "city": "SUPERIOR",
            "state": "AZ",
            "postal_code": "851732638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MAIN ST",
            "city": "SUPERIOR",
            "state": "AZ",
            "postal_code": "851732638",
            "telephone_number": "520-689-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "BIGLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "520-689-2191"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D06161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Morse, LISAC
• Edward Anthony Ornelas, DNP, PMHNP-BC
• Pinal County Arizona
• Natalie Rae Quiroz
• Angelina Serrano
• Town of Superior
• Timothy Hugh Vanderveen, M.A.

• General Practice Dentistry in Superior, AZ
• Providers in Superior, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.