Organization Active NPI

Norterra Dental Care

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1114467974
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5476 Issued in AZ
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

Updated by the provider on Feb 27, 2017

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.