Active NPI
Norterra Dental Care
- Dentist
- Phoenix, AZ
National Provider Identifier
1114467974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5476
- Legal business name
- NORTERRA DENTAL CARE
- Practice address
- 2370 W Happy Valley Rd
Suite 1073
Phoenix, AZ 85085-8507 - Phone
- (623) 780-3333
- Fax
- (623) 582-1074
- NPI assigned
- Feb 27, 2017
- 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
- Jeong-Yup Kim
- Title
- Owner
- Phone
- (623) 780-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5476 | AZ | Primary |
Addresses
Primary practice location
2370 W Happy Valley Rd
Suite 1073
Phoenix, AZ 85085-8507
Mailing address
2370 W Happy Valley Rd
Suite 1073
Phoenix, AZ 85085-8507
Phone (623) 780-3333
National Provider Directory
National Provider DirectoryLocations
2370 W Happy Valley Rd
Ste 1073
Phoenix, AZ 85085
Phone (623) 281-1021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1114467974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 W HAPPY VALLEY RD",
"address_2": "SUITE 1073",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858507",
"telephone_number": "623-780-3333",
"fax_number": "623-582-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 W HAPPY VALLEY RD",
"address_2": "SUITE 1073",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858507",
"telephone_number": "623-780-3333",
"fax_number": "623-582-1074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTERRA DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JEONG-YUP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-780-3333"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "5476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Brianna Norris, MD
- Emily Norris, PMHNP
- Jennifer L. Norris, M.A., CCC-SLP
- Kellie Jo Norris, PMHNP
- Kristi Norris, N.M.D.
- Norterra Dental Group and Orthodontics, LLP (Norterra Dental Group and Orthodontics)
- Norterra Family Medicine, PLLC
- Norterra Pediatric Dental Partners, LLP (Every Kids Dentist)
- North American Partners in Anesthesia (Arizona), LLC
- North Beverly Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.