NPIMap

Organization Active NPI

Signature Arizona Dental Partners LLC

Doing business as Family Dentistry of Buckeye

  • Dental Clinic/Center
  • Tempe, AZ
National Provider Identifier
1104395094
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIGNATURE ARIZONA DENTAL PARTNERS LLC
Doing business as
Family Dentistry of Buckeye
Practice address
2525 S Rural Rd Ste 2S
Tempe, AZ 85282-2400
Phone
(480) 967-5788
NPI assigned
Nov 20, 2018
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SIGNATURE DENTAL PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Melody Bennion
Title
Director of Integrations
Phone
(480) 234-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2525 S Rural Rd Ste 2S
Tempe, AZ 85282-2400

Mailing address

410 N 44TH St Ste 290
Phoenix, AZ 85008-7622
Phone (480) 626-4154

Other practice location 1

1300 S Watson Rd Ste A-100
Buckeye, AZ 85326-6303
Phone (623) 471-7373

Other practice location 2

3841 E Thunderbird Rd Ste 101
Phoenix, AZ 85032-5719
Phone (602) 867-1899

Other practice location 3

13920 W. Camino del Sol
Sun City West, AZ 85375-2400
Phone (623) 974-4753

Other practice location 4

6562 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 722-1655

Other practice location 5

2074 E Southern Ave Ste B102
Tempe, AZ 85282-7534
Phone (480) 838-3355

Other practice location 6

9301 E Shea Blvd Ste 111
Scottsdale, AZ 85260-6735
Phone (480) 767-8804

Other practice location 7

340 E Palm Ln Ste A280
Phoenix, AZ 85004-4603
Phone (602) 252-2800

Other practice location 8

2512 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9117
Phone (520) 797-4844

Other practice location 9

1058 N Higley Rd Ste 212
Mesa, AZ 85205-6463
Phone (480) 924-8633

Other practice location 10

335 N Stapley Dr
Mesa, AZ 85203-8030
Phone (480) 964-2662

Other practice location 11

18275 N 59th Ave Ste D-120
Glendale, AZ 85308-1260
Phone (602) 943-7204

Other practice location 12

3592 S Atherton Blvd Ste 112
Gilbert, AZ 85297-7444
Phone (480) 457-8600

Other practice location 13

637 N Main St Ste 1C
Cottonwood, AZ 86326-5579
Phone (928) 634-8292

Other names 1

  • Family Dentistry of Buckeye Doing business as

National Provider Directory

National Provider Directory
Part of
Signature Dental Partners LLC

Locations

1300 S Watson Rd
Ste A100
Buckeye, AZ 85326
Phone (623) 386-3333

637 N Main St
Ste 1C
Cottonwood, AZ 86326
Phone (928) 325-8630

18275 N 59th Ave
Ste 120D
Glendale, AZ 85308
Phone (602) 943-7204

1058 N Higley Rd
Ste 212
Mesa, AZ 85205
Phone (480) 924-3446

340 E Palm Ln
Ste A280
Phoenix, AZ 85004
Phone (602) 252-2800

13920 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 974-4753

2525 S Rural Rd
Ste 2S
Tempe, AZ 85282
Phone (480) 967-5788

6562 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 323-0333

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1104395094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 44TH ST STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087622",
            "telephone_number": "480-626-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD STE 2S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822400",
            "telephone_number": "480-967-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Watson Rd Ste A-100",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853266303",
            "country_code": "US",
            "telephone_number": "623-471-7373",
            "fax_number": "623-888-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3841 E Thunderbird Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325719",
            "country_code": "US",
            "telephone_number": "602-867-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13920 W. Camino del Sol",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853752400",
            "country_code": "US",
            "telephone_number": "623-974-4753",
            "fax_number": "623-974-4753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6562 E Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102117",
            "country_code": "US",
            "telephone_number": "520-722-1655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2074 E Southern Ave Ste B102",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827534",
            "country_code": "US",
            "telephone_number": "480-838-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9301 E Shea Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606735",
            "country_code": "US",
            "telephone_number": "480-767-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 E Palm Ln Ste A280",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850044603",
            "country_code": "US",
            "telephone_number": "602-252-2800",
            "fax_number": "602-254-8228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2512 E Vistoso Commerce Loop",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857559117",
            "country_code": "US",
            "telephone_number": "520-797-4844",
            "fax_number": "520-219-0863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1058 N Higley Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852056463",
            "country_code": "US",
            "telephone_number": "480-924-8633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 N Stapley Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852038030",
            "country_code": "US",
            "telephone_number": "480-964-2662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18275 N 59th Ave Ste D-120",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081260",
            "country_code": "US",
            "telephone_number": "602-943-7204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3592 S Atherton Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977444",
            "country_code": "US",
            "telephone_number": "480-457-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 N Main St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863265579",
            "country_code": "US",
            "telephone_number": "928-634-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGNATURE ARIZONA DENTAL PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE DENTAL PARTNERS LLC",
        "enumeration_date": "2018-11-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "480-234-8490"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Buckeye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.