Modest Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODEST DENTISTRY LLC

Practice address

4025 W Bell Rd Ste 19
Phoenix, AZ 85053-2749

Phone

(602) 938-2736

Fax

(602) 938-3783

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Pratik Rana, MD

Title

Owner

Phone

(201) 706-1016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Lawrence Hopper, DDS

  • Dentist
  • Glendale, AZ
  • NPI 1750473377

  General Practice

  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1174215271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749",
            "telephone_number": "602-938-2736",
            "fax_number": "602-938-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749",
            "telephone_number": "602-938-2736",
            "fax_number": "602-938-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEST DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-706-1016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Recovery, Inc. (Virgil- Phoenix)
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• Modern Smiles PLLC (Modern Smiles)
• Modern Sports Medicine LLC
• Modern Tinnitus LLC
• Amanda Modesta Keyhani, MD
• Bhavan Modi, MD
• Sagar Modi, MD
• Cynthia Jean Modny, M.D.
• Kartik Mody

• 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 May 25, 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.