Via de Ventura Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D4995 Issued in AZ

Legal business name

VIA DE VENTURA DENTAL CARE LLC

Practice address

8600 E Via de Ventura
Suite 202
Scottsdale, AZ 85258-3323

Phone

(480) 948-4445

Fax

(480) 948-0082

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Slepak, MD

Title

Owner/Member

Phone

(480) 948-4445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1083896203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-948-4445",
            "fax_number": "480-948-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-948-4445",
            "fax_number": "480-948-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA DE VENTURA DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "SLEPAK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "480-948-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Scottsdale, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.