NPIMap

Organization Active NPI

Phoenix Central Dental Partners LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1053176362
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHOENIX CENTRAL DENTAL PARTNERS LLC
Practice address
4501 N 7TH St
Phoenix, AZ 85014-3804
Phone
(602) 845-5730
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Whitney Wright, DDS
Title
Officer
Phone
(480) 339-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4501 N 7TH St
Phoenix, AZ 85014-3804

Mailing address

3030 N Central Ave Ste 1500
Phoenix, AZ 85012-2750

Other names 1

  • RISAS DENTAL AND BRACES Doing business as

National Provider Directory

National Provider Directory

Locations

4501 N 7th St
Phoenix, AZ 85014
Phone (602) 845-5730

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1053176362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143804",
            "telephone_number": "602-845-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTRAL DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-339-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISAS DENTAL AND BRACES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RISAS DENTAL AND BRACES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 19, 2024; 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.