NPIMap

Organization Active NPI

Associated Dental Care Providers, LLC

Doing business as Associated Dental & Orthodontics Glendale

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1114054624
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS, LLC
Doing business as
Associated Dental & Orthodontics Glendale
Practice address
5905 W Bell Rd Ste 6
Glendale, AZ 85308-3790
Phone
(602) 547-9566
Fax
(602) 547-8164
NPI assigned
Feb 28, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Hannah Fish
Title
Credentialing Manager
Phone
(214) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5905 W Bell Rd Ste 6
Glendale, AZ 85308-3790

Mailing address

5905 W Bell Rd Ste 6
Glendale, AZ 85308-3790
Phone (602) 547-9566

Other names 1

  • Associated Dental & Orthodontics Glendale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Dental Care Providers LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

5905 W Bell Rd
Ste 6
Glendale, AZ 85308
Phone (602) 547-9566

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1114054624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 W BELL RD STE 6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083790",
            "telephone_number": "602-547-9566",
            "fax_number": "602-547-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 W BELL RD STE 6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083790",
            "telephone_number": "602-547-9566",
            "fax_number": "602-547-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "214-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental & Orthodontics Glendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2023; 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.