Organization Active NPI

Dentists of Asante LLP

Doing business as Dentists of Asante

  • Dentist
  • Surprise, AZ
National Provider Identifier
1033990023
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTISTS OF ASANTE LLP
Doing business as
Dentists of Asante
Practice address
16350 N Pat Tillman Blvd
Ste 120
Surprise, AZ 85387
Phone
(623) 738-0370
Fax
(623) 707-2715
NPI assigned
Oct 6, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Keeley Nga Le, DMD
Title
Owner
Phone
(623) 738-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

16350 N Pat Tillman Blvd
Ste 120
Surprise, AZ 85387

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • DENTISTS OF ASANTE Doing business as

National Provider Directory

National Provider Directory

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": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1033990023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 N PAT TILLMAN BLVD",
            "address_2": "STE 120",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85387",
            "telephone_number": "623-738-0370",
            "fax_number": "623-707-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF ASANTE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KEELEY",
        "authorized_official_middle_name": "NGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-738-0370",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTS OF ASANTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.