NPIMap

Arizona Dental Professionals, P.C.

Organization Active NPI General Practice Dentistry · Queen Creek, AZ

NPI 1093346033 · NPPES record last updated Jan 29, 2020

Key facts

NPI
1093346033
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Practice address
20311 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142
Phone
(602) 626-3935
NPI assigned
Jan 29, 2020
Organization subpart
Yes
Parent organization (as reported)
ARIZONA DENTAL PROFESSIONALS, P.C.

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-5100

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Arizona Dental Professionals PC (63 organizations share this tax ID)
Part of
Arizona Dental Professionals PC

Locations

20311 S Ellsworth Rd
Ste 101
Queen Creek, AZ 85142
Phone (480) 999-4484

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

20311 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142

Mailing address

20311 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142
Phone (602) 626-3935

Other names

  • Dental Care at Tumbleweed Pass Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2020.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1093346033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "602-626-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "602-626-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care at Tumbleweed Pass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

All providers in Queen Creek, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.