NPIMap

Organization Active NPI

Southwest Dental Professionals PLLC

  • Dentist
  • Queen Creek, AZ
National Provider Identifier
1154622249
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D07819 Issued in AZ
Legal business name
SOUTHWEST DENTAL PROFESSIONALS PLLC
Practice address
316 W Angus Rd
Queen Creek, AZ 85143-4989
Phone
(480) 390-2060
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Lawrence G Groop, DMD
Title
Owner/Pres
Phone
(480) 664-1449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D07819 AZ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D08719 AZ

Addresses

Primary practice location

316 W Angus Rd
Queen Creek, AZ 85143-4989

Mailing address

316 W Angus Rd
Queen Creek, AZ 85143-4989
Phone (480) 390-2060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1154622249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W ANGUS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851434989",
            "telephone_number": "480-390-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W ANGUS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851434989",
            "telephone_number": "480-390-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DENTAL PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "GROOP",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "480-664-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D07819",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D08719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.