Roy Song, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6192 Issued in AZ

Practice address

1820 N 75TH Ave
Suite 112
Phoenix, AZ 85035

Phone

(623) 334-2224

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triple Eight Dental Group, PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1326659087
  NPD Authorized official
• Western Dental of Arizona, Inc.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1467598417
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164569935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 W BENT TREE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850854738",
            "telephone_number": "623-340-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N 75TH AVE",
            "address_2": "SUITE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85035",
            "telephone_number": "623-334-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Son, FNP-C
• Hester M Sonder, MD, MPH
• Alex Song, MD
• Ha NA Song, DMD
• Jennifer Song
• Songbird Health Az LLC
• Diwanshu Soni, DO
• Scott Sonne, MD
• Sonoease PLLC
• Sonora Dental Group Multi Specialty

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Jul 8, 2007; 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.