Organization Active NPI

Az Family Dentistry, PLLC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1144040262
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AZ FAMILY DENTISTRY, PLLC
Practice address
5690 W Chandler Blvd Ste 1
Chandler, AZ 85226-3356
Phone
(480) 753-1111
Fax
(480) 763-1112
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Vikram Rajadhyaksha, DMD
Title
Dentist/Owner
Phone
(480) 753-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5690 W Chandler Blvd Ste 1
Chandler, AZ 85226-3356

Mailing address

5690 W Chandler Blvd Ste 1
Chandler, AZ 85226-3356
Phone (480) 753-1111

National Provider Directory

National Provider Directory

Locations

5690 W Chandler Blvd
Ste 1
Chandler, AZ 85226
Phone (480) 753-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1144040262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263356",
            "telephone_number": "480-753-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263356",
            "telephone_number": "480-753-1111",
            "fax_number": "480-763-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "RAJADHYAKSHA",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "480-753-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 2024; 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.