Arizona Periodontal Group PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

ARIZONA PERIODONTAL GROUP PLLC

Practice address

1717 W Northern Ave
Ste 104
Phoenix, AZ 85021-5469

Phone

(602) 995-5045

Fax

(602) 995-3222

NPI assigned

May 21, 2007

Last updated

Feb 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ariel Trujillo, D.M.D.NPI 1992913594

Title

Owner

Phone

(602) 995-5045

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ariel E. Trujillo, D.M.D

  • Periodontics
  • Phoenix, AZ
  • NPI 1992913594
  NPD (past) Authorized official
• Stuart S. Sanders, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Peoria, AZ
  • NPI 1134194996
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1134338973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "602-995-5045",
            "fax_number": "602-995-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE",
            "address_2": "STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "602-995-5045",
            "fax_number": "602-995-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PERIODONTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-995-5045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Pediatric Pulmonary & Asthma Associates, P.L.C.
• Arizona Pediatric Urology, P.C.
• Arizona Pediatrics, P.L.L.C.
• Arizona Pediatrics,PLLC
• Arizona Perinatal Care Centers, LLC
• Arizona Personal Care Services Inc
• Arizona Personal Care Services Inc
• Arizona Personal Care Services Inc
• Arizona Personal Care Services Inc
• Arizona Personal Caregiver Service LLC

• Periodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.