Organization Active NPI

North Seventh Street Dental LLC

Doing business as Central Valley Cosmetic Dentistry and Implants

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1154006443
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTH SEVENTH STREET DENTAL LLC
Doing business as
Central Valley Cosmetic Dentistry and Implants
Practice address
6232 N 7TH St Ste 201
Phoenix, AZ 85014-1852
Phone
(602) 246-0385
Fax
(602) 393-1023
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Jenny Garcia-Rocha
Title
Credentialing Lead
Phone
(972) 869-3789

Specialties & licenses 1

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

Addresses

Primary practice location

6232 N 7TH St Ste 201
Phoenix, AZ 85014-1852

Mailing address

6232 N 7TH St Ste 201
Phoenix, AZ 85014-1852
Phone (602) 246-0385

Other names 1

  • Central Valley Cosmetic Dentistry and Implants Doing business as

National Provider Directory

National Provider Directory

Locations

6232 N 7th St
Ste 201
Phoenix, AZ 85014
Phone (602) 246-0385

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1154006443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N 7TH ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141852",
            "telephone_number": "602-246-0385",
            "fax_number": "602-393-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 N 7TH ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141852",
            "telephone_number": "602-246-0385",
            "fax_number": "602-393-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SEVENTH STREET DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Cosmetic Dentistry and Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2023; 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.