Organization Active NPI

Westside Endodontic Professionals, LTD.

  • Endodontics
  • Glendale, AZ
National Provider Identifier
1184018434
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WESTSIDE ENDODONTIC PROFESSIONALS, LTD.
Practice address
18555 N 79TH Ave
Suite D104
Glendale, AZ 85308-8370
Phone
(623) 939-3313
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Ronald Steinbrunner
Title
Dentist
Phone
(623) 939-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

18555 N 79TH Ave
Suite D104
Glendale, AZ 85308-8370

Mailing address

18555 N 79TH Ave
Suite D104
Glendale, AZ 85308-8370
Phone (623) 939-3313

National Provider Directory

National Provider Directory

Locations

18555 N 79th Ave
Ste D104
Glendale, AZ 85308
Phone (623) 939-3313

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1184018434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE D104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-939-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE D104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-939-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ENDODONTIC PROFESSIONALS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "STEINBRUNNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-939-3314",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.