Crescent View Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRESCENT VIEW FAMILY DENTAL, LLC

Practice address

4015 N 15TH Ave
Phoenix, AZ 85015-5209

Phone

(602) 248-0434

Fax

(602) 248-2814

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Laraine Grey

Title

Owner/Manager

Phone

(602) 248-0434

Specialties & licenses 1

Addresses

Locations

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.

• Daline Efthin Gonzalez, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1134186158
  NPD (past)
• Isabel Rodriquez, RDH

  • Dental Hygienist
  • Phoenix, AZ
  • NPI 1033322961
  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1083938153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155209",
            "telephone_number": "602-248-0434",
            "fax_number": "602-248-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155209",
            "telephone_number": "602-248-0434",
            "fax_number": "602-248-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT VIEW FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "LARAINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-248-0434"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echelle Crenshaw, FNP-C
• Creo Therapy Solutions
• Creosote Counseling
• Amy Zongolowicz Crepeau, M.D.
• Crescent Chiropractic PC
• Monica Crespo-Lezama, PHYSICIAN ASSISTANT
• Cresthaven LLC
• Cresthaven Services LLC
• Crestwell Health LLC
• Bennet Crews

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.