NPIMap

Organization Active NPI

Arrowhead Plaza Dental Group PLC

Doing business as Legacy Dental Group

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1053534453
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARROWHEAD PLAZA DENTAL GROUP PLC
Doing business as
Legacy Dental Group
Practice address
18205 N 51St Ave
Suite 101
Glendale, AZ 85308-1490
Phone
(602) 993-4200
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization
ARROWHEAD PLAZA DENTAL GROUP PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Louis Core, D.D.S.NPI 1477614915
Title
Manager
Phone
(602) 993-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

18205 N 51St Ave
Suite 101
Glendale, AZ 85308-1490

Mailing address

18205 N 51St Ave
Suite 103
Glendale, AZ 85308-1490

Other names 1

  • Legacy Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arrowhead Plaza Dental Group PLC2 organizations share this tax ID, including this one
Part of
Arrowhead Plaza Dental Group PLC

Other organizations with this tax ID 1

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

Locations

18205 N 51st Ave
Ste 103
Glendale, AZ 85308

18205 N 51st Ave
Ste 101
Glendale, AZ 85308
Phone (602) 942-2880

Practitioners & affiliated clinicians

Practitioners 3

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1053534453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490",
            "telephone_number": "602-993-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD PLAZA DENTAL GROUP PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARROWHEAD PLAZA DENTAL GROUP PLC",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-993-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.