West Valley Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D5164 Issued in AZ

Legal business name

WEST VALLEY PEDIATRIC DENTISTRY

Practice address

13575 W Indian School Rd Ste 1000
Litchfield Park, AZ 85340-4926

Phone

(623) 935-9873

Fax

(623) 935-3626

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Neil Brownstein, D.D.S.

Title

Dentist Owner

Phone

(623) 935-9873

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1083767768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404926",
            "telephone_number": "623-935-9873",
            "fax_number": "623-935-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 1000",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404926",
            "telephone_number": "623-935-9873",
            "fax_number": "623-935-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BROWNSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "623-935-9873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.