Inspired Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D07579 Issued in AZ

Legal business name

INSPIRED DENTAL PLLC

Doing business as

Coolidge Family Dental

Practice address

1427 N Arizona Blvd
Coolidge, AZ 85128-3214

Phone

(520) 723-1700

Fax

(520) 723-1702

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Anthony Ballew, DDS

Title

Owner

Phone

(520) 723-1700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Coolidge Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris A Ballew, DDS

  • Dentist
  • Coolidge, AZ
  • NPI 1134383631
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1154798064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283214",
            "telephone_number": "520-723-1700",
            "fax_number": "520-723-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 N ARIZONA BLVD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "851283214",
            "telephone_number": "520-723-1700",
            "fax_number": "520-723-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "BALLEW",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-723-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1134383631",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "D07579",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coolidge Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Coolidge, AZ
• Providers in Coolidge, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.