Greenway Dental Lab Inc.

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Legal business name

GREENWAY DENTAL LAB INC.

Practice address

1855 W Greenway Rd Ste 109
Phoenix, AZ 85023-3475

Phone

(602) 242-2303

NPI assigned

Sep 7, 2019

Last updated

Sep 7, 2019By 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

Matthew Frketich

Title

Owner

Phone

(602) 242-2303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1053960500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W GREENWAY RD STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233475",
            "telephone_number": "602-242-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W GREENWAY RD STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233475",
            "telephone_number": "602-242-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY DENTAL LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "FRKETICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-242-2303"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenstaff Medical Staffing LLC
• Victoria Nicole Greenstein, MD
• Alan Robert Greenwald, MA, NCSP
• Greenway 40 LLC (Age Defying Dentistry, Phoenix)
• Greenway Backfit Medical Venture LLC
• Greenway Urgent Care LLC (NextCare)
• Greenwaysurgery Center LLC
• Michael N Greenwell, MSW, LCSW
• Chelsea Greenwood, FNP
• Laura Taylor Greenwood, LCSW

• Dental Laboratory Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Laboratory Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.