Tap Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D5791 Issued in AZ

Legal business name

TAP DENTAL PLLC

Doing business as

Dental Care at Anthem

Practice address

3655 W Anthem Way Ste A117
Anthem, AZ 85086-0430

Phone

(623) 551-5555

NPI assigned

May 7, 2012

Last updated

May 7, 2012By 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

Dr. Nicholas Pile

Title

Dentist

Phone

(623) 551-5555

Specialties & licenses 2

Addresses

Other names 1

• Dental Care at Anthem Doing business as

Practitioners 1

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.

• Nicholas Patrick Wall, DDS

  • General Practice Dentistry
  • Anthem, AZ
  • NPI 1225169154
  NPD (past)

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1043579360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY STE A117",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY STE A117",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430",
            "telephone_number": "623-551-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "PILE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-551-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008262",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care at Anthem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Storjohann, PHARM.D
• Kristen Lynn Stout, MSN, FNP-C
• Courtney Suarez, DC
• Keith Robert Sutton, FNP
• David Bryan Tanis, DNP, PMHNP-BC
• Krystal Ann Taranto, DNP - FNP
• Callie Taylor, OTR
• Ginger Leigh Teasley, M.A., LMFT
• Zachary Raphael Teibel, MD
• Ternion Physician Group, PLLC

• Dentist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.