Organization Active NPI

Delicate Dental Group LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1063186864
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DELICATE DENTAL GROUP LLC
Practice address
1855 W Greenway Rd Ste 107
Phoenix, AZ 85023-3475
Phone
(602) 805-1110
Fax
(602) 805-1112
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Mrs. Esther Shalamov, FNPNPI 1366001257
Title
Office Manager
Phone
(917) 660-0421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1855 W Greenway Rd Ste 107
Phoenix, AZ 85023-3475

Mailing address

1855 W Greenway Rd Ste 107
Phoenix, AZ 85023-3475
Phone (602) 805-1110

National Provider Directory

National Provider Directory

Locations

1855 W Greenway Rd
Ste 107
Phoenix, AZ 85023
Phone (602) 789-7426

Practitioners & affiliated clinicians

Practitioners 2

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1063186864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W GREENWAY RD STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233475",
            "telephone_number": "602-805-1110",
            "fax_number": "602-805-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W GREENWAY RD STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233475",
            "telephone_number": "602-805-1110",
            "fax_number": "602-805-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELICATE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "SHALAMOV",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-660-0421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2021; 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.