Active NPI
New Concept Dental
- Dental Clinic/Center
- Avondale, AZ
National Provider Identifier
1114240942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 90279
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1497867535
-
- Dentist
- Avondale, AZ
- NPI 1285957068
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
- Melanie Lillian Nelson
- Nicholas Stephen Netzel, DMD
- Neurobridge Diagnostic and Behavioral Health LLC
- Linda Neville
- New Beginning Home Healthcare
- New Hope for Living, Inc
- New Hope for Living, Inc (Strong Hold Behavioral Health Homes)
- New Hope of Arizona
- New Hope of Arizona, Inc.
- New Hope of Arizona, Inc.
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.