NPIMap

Organization Active NPI

Arizona TMJ and Sleep Center, LLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1093082679
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3276 Issued in AZ
Legal business name
ARIZONA TMJ AND SLEEP CENTER, LLC
Practice address
6701 W Union Hills Dr
Glendale, AZ 85308-8067
Phone
(602) 843-0010
Fax
(602) 843-5554
NPI assigned
Nov 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Dr. Mark Rory Chase, DDSNPI 1982780177
Title
President
Phone
(602) 843-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3276 AZ Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

6701 W Union Hills Dr
Glendale, AZ 85308-8067

Mailing address

PO Box 10730
Glendale, AZ 85318-0730
Phone (602) 843-0010

National Provider Directory

National Provider Directory

Locations

6701 W Union Hills Dr
Ste 1
Glendale, AZ 85308
Phone (602) 843-0010

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1093082679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10730",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180730",
            "telephone_number": "602-843-0010",
            "fax_number": "602-843-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088067",
            "telephone_number": "602-843-0010",
            "fax_number": "602-843-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA TMJ AND SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-843-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3276",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.