NPIMap

Organization Active NPI

Phoenician Dental Center LLC

  • Dentist
  • Chandler, AZ
National Provider Identifier
1124578919
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PHOENICIAN DENTAL CENTER LLC
Practice address
1343 N Alma School Rd
Suite 160
Chandler, AZ 85224-5941
Phone
(480) 963-2797
Fax
(480) 407-7633
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mrs. Anupam Ahlawat
Title
Coo
Phone
(480) 444-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1343 N Alma School Rd
Suite 160
Chandler, AZ 85224-5941

Mailing address

1343 N Alma School Rd
Suite 160
Chandler, AZ 85224-5941
Phone (480) 963-2797

Other identifiers 1

IdentifierTypeStateIssuer
L20648437OtherAZARIZONA CORPORATION COMISSION FILE NUMBER

Other names 1

  • Phoenician Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1124578919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "SUITE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245941",
            "telephone_number": "480-963-2797",
            "fax_number": "480-407-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD",
            "address_2": "SUITE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245941",
            "telephone_number": "480-963-2797",
            "fax_number": "480-407-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "AHLAWAT",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-444-7447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA CORPORATION COMISSION FILE NUMBER",
            "identifier": "L20648437",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.