NPIMap

Organization Active NPI

Avondale Endodontics, PLC

  • Endodontics
  • Avondale, AZ
National Provider Identifier
1114396389
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D05887 Issued in AZ
Legal business name
AVONDALE ENDODONTICS, PLC
Practice address
10750 W McDowell Rd
Suite A250
Avondale, AZ 85392-5960
Phone
(623) 907-9400
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Francisco J Castano
Title
Owner
Phone
(623) 376-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D05542 AZ
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X D05887 AZ Primary

Addresses

Primary practice location

10750 W McDowell Rd
Suite A250
Avondale, AZ 85392-5960

Mailing address

10750 W McDowell Rd
Suite A250
Avondale, AZ 85392-5960

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1114396389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "SUITE A250",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "address_2": "SUITE A250",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "623-907-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE ENDODONTICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-376-7400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D05542",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D05887",
            "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 Sep 17, 2015; 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.