NPIMap

Organization Active NPI

Deer Valley Dental Group, LLP

Doing business as Deer Valley Dental Group

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1053766287
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEER VALLEY DENTAL GROUP, LLP
Doing business as
Deer Valley Dental Group
Practice address
2805 W Agua Fria Fwy Ste 8a
Phoenix, AZ 85027-3938
Phone
(623) 255-3390
Fax
(623) 900-7330
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Dr. Farzan Mojgani, DDSNPI 1558742007
Title
Owner Doctor
Phone
(623) 255-3390

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2805 W Agua Fria Fwy Ste 8a
Phoenix, AZ 85027-3938

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Deer Valley Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2805 W Agua Fria Fwy
Ste 8A
Phoenix, AZ 85027
Phone (623) 255-3390

Practitioners & affiliated clinicians

Practitioners 5

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": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1053766287",
    "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",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W AGUA FRIA FWY STE 8A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273938",
            "telephone_number": "623-255-3390",
            "fax_number": "623-900-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER VALLEY DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "MOJGANI",
        "authorized_official_first_name": "FARZAN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "623-255-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Valley Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deer Valley Dental Group",
            "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 Jun 14, 2022; 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.