NPIMap

Organization Active NPI

Phoenix Endodontic Center LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1144531393
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2928 Issued in AZ
Legal business name
PHOENIX ENDODONTIC CENTER LLC
Practice address
13821 N 35TH Dr Ste 2
Phoenix, AZ 85053-5541
Phone
(602) 375-8063
Fax
(602) 863-3412
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Gary Joseph Core, D.D.S
Title
Owner
Phone
(602) 375-8063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2928 AZ Primary

Addresses

Primary practice location

13821 N 35TH Dr Ste 2
Phoenix, AZ 85053-5541

Mailing address

13821 N. 35TH Drive Suite 2
Phoenix, AZ 85053
Phone (602) 375-8063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1144531393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13821 N. 35TH DRIVE SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85053",
            "telephone_number": "602-375-8063",
            "fax_number": "602-863-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13821 N 35TH DR STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850535541",
            "telephone_number": "602-375-8063",
            "fax_number": "602-863-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ENDODONTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-375-8063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2928",
            "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 Jun 23, 2010; 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.