East Valley Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EAST VALLEY DENTAL ASSOCIATES, LLC

Practice address

1851 E Baseline Rd Ste 103
Gilbert, AZ 85233-1536

Phone

(480) 497-1179

Fax

(480) 539-5657

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Shanna Zuniga

Title

Manager

Phone

(480) 497-1197

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1063168367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 E BASELINE RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331536",
            "telephone_number": "480-497-1179",
            "fax_number": "480-539-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 E BASELINE RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331536",
            "telephone_number": "480-497-1179",
            "fax_number": "480-539-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-497-1197"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanna@eastvalleydental.com",
            "affiliation": "N",
            "endpointDescription": "shanna@eastvalleydental.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1851 E Baseline Rd Ste 103",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852331536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Gilbert, AZ
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.