Organization Active NPI

New Concept Dental

  • Dental Clinic/Center
  • Avondale, AZ
National Provider Identifier
1114240942
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
90279 Issued in AZ
Legal business name
NEW CONCEPT DENTAL
Practice address
725 N Central Ave Ste 109
Avondale, AZ 85323-1659
Phone
(623) 925-1399
Fax
(623) 882-8083
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Mrs. Maria M Corral
Title
Owner
Phone
(623) 925-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 90279 AZ Primary

Addresses

Primary practice location

725 N Central Ave Ste 109
Avondale, AZ 85323-1659

Mailing address

725 N Central Ave Ste 109
Avondale, AZ 85323-1659
Phone (623) 925-1399

National Provider Directory

National Provider Directory

Locations

725 N Central Ave
Ste 109
Avondale, AZ 85323
Phone (623) 322-4575

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1114240942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N CENTRAL AVE STE 109",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231659",
            "telephone_number": "623-925-1399",
            "fax_number": "623-882-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N CENTRAL AVE STE 109",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231659",
            "telephone_number": "623-925-1399",
            "fax_number": "623-882-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CONCEPT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-925-1399",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "90279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.