Ashwaq Dental One, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ASHWAQ DENTAL ONE, LLC

Practice address

42104 N Venture Dr Ste B118
Anthem, AZ 85086-3828

Phone

(623) 742-6800

Fax

(844) 273-1202

NPI assigned

May 20, 2017

Organization subpart

No

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

Authorized official

Name

Isaima Kayat

Title

Manager

Phone

(602) 317-3890

Specialties & licenses 1

Addresses

Other names 1

• Smiles of Anthem Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495238400000",
    "number": "1144757196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5279",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855279",
            "telephone_number": "16023173890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE B118",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863828",
            "telephone_number": "623-742-6800",
            "fax_number": "844-273-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHWAQ DENTAL ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A",
        "authorized_official_last_name": "KAYAT",
        "authorized_official_first_name": "ISAIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-317-3890"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Anthem Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.