Flagstaff Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6531 Issued in AZ

Legal business name

FLAGSTAFF ENDODONTICS

Practice address

1600 W University Ave Ste 103
Flagstaff, AZ 86001-3154

Phone

(928) 774-4400

Fax

(928) 774-5436

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tania Maddy

Title

Receptionist

Phone

(928) 774-4400

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alaina Pancio Leiendecker, D.M.D.

  • Endodontics
  • Flagstaff, AZ
  • NPI 1700198058
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1083799639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013154",
            "telephone_number": "928-774-4400",
            "fax_number": "928-774-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013154",
            "telephone_number": "928-774-4400",
            "fax_number": "928-774-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "928-774-4400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "2197",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "6531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NO.",
            "identifier": "2197",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NO.",
            "identifier": "6531",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flagstaff Center for Bone and Joint Disorders (Flagstaff Bone and Joint)
• Flagstaff Child & Family Counseling Center PLLC
• Flagstaff Dental Group, PLLC
• Flagstaff Dentistry 4 Kids, PLLC (Flagstaff Dentistry 4 Kids)
• Flagstaff Emergency Physicians
• Flagstaff Eye Care PLLC
• Flagstaff Family Dental Center PLLC
• Flagstaff Family Physicians PC (Optum Primary Care)
• Flagstaff First Assist, PLLC
• Flagstaff Foot and Ankle Specialists PC

• Endodontics in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.