Active NPI
Millennium Dental Arts
- Dental Clinic/Center
- Goodyear, AZ
National Provider Identifier
1124779004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MILLENNIUM DENTAL ARTS
- Practice address
- 14940 W Indian School Rd Ste 450
Goodyear, AZ 85395-7308 - Phone
- (623) 323-4728
- NPI assigned
- Jan 12, 2022
- 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
- Tera Niedens
- Title
- Accountant
- Phone
- (623) 289-2616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
14940 W Indian School Rd Ste 450
Goodyear, AZ 85395-7308
Mailing address
34225 N 27TH Dr Ste 241
Phoenix, AZ 85085-6091
Phone (623) 289-2616
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1124779004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34225 N 27TH DR STE 241",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856091",
"telephone_number": "623-289-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14940 W INDIAN SCHOOL RD STE 450",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957308",
"telephone_number": "623-323-4728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM DENTAL ARTS",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "NIEDENS",
"authorized_official_first_name": "TERA",
"authorized_official_title_or_position": "ACCOUNTANT",
"authorized_official_telephone_number": "623-289-2616"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.