Organization Active NPI

Dental Aesthetic

  • Dental Clinic/Center
  • Sun City, AZ
National Provider Identifier
1144975798
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL AESTHETIC
Practice address
10220 W Bell Rd Ste 104
Sun City, AZ 85351-1179
Phone
(623) 300-5432
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Dr. Abdullah Ahmad, DMDNPI 1891346003
Title
Owner/Dentist
Phone
(914) 621-6878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10220 W Bell Rd Ste 104
Sun City, AZ 85351-1179

Mailing address

4950 W Tonto Rd
Glendale, AZ 85308-9222
Phone (914) 621-6878

Other identifiers 1

IdentifierTypeStateIssuer
1891346003OtherAZNPI

National Provider Directory

National Provider Directory

Locations

10220 W Bell Rd
Ste 104
Sun City, AZ 85351
Phone (623) 300-5432

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": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1144975798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 W TONTO RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089222",
            "telephone_number": "914-621-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 W BELL RD STE 104",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511179",
            "telephone_number": "623-300-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AESTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "914-621-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891346003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

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

Verify at the official NPI Registry.