Glendale Gentle Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6220 Issued in AZ

Legal business name

GLENDALE GENTLE DENTISTRY

Practice address

8910 N 43Rd Ave Ste 104
Glendale, AZ 85302-5340

Phone

(623) 939-5131

NPI assigned

Feb 5, 2015

Last updated

Feb 5, 2015By 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

Mr. Kris Iganian, DDS

Title

Dentist/Owner

Phone

(623) 939-5131

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1063803518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 N 43RD AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025340",
            "telephone_number": "623-939-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N 43RD AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025340",
            "telephone_number": "623-939-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE GENTLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "IGANIAN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-939-5131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale Dental Associates LLC
• Glendale Dental Group, L.T.D.
• Glendale Dental Smiles
• Glendale Elementary School District #40
• Glendale Family Dentistry, PLLC
• Glendale Grove Senior Living, LLC
• Glendale Healthcare Assoc., LLC (Desert Sky Health and Rehabilitation)
• Glendale Healthcare Associates (Desert Sky Assisted Living)
• Glendale Healthcare Associates LLC (Bella Vita Health and Rehabilitation Center)
• Glendale Healthcare Associates LLC (Bella Vita Health and Rehabilitation Center)

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.