NPIMap

Organization Active NPI

Eicon Dental, LLC

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1184825267
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EICON DENTAL, LLC
Doing business as
Eicon Dental
Practice address
2210 S Mill Ave
Suite 2
Tempe, AZ 85282-2153
Phone
(480) 921-2434
Fax
(480) 921-2624
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mr. Mark C Eich
Title
Owner
Phone
(480) 921-2434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2210 S Mill Ave
Suite 2
Tempe, AZ 85282-2153

Mailing address

2210 S Mill Ave
Suite 2
Tempe, AZ 85282-2153
Phone (480) 921-2434

Other names 1

  • Eicon Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Continental Dental Care Mill Avenue LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2210 S Mill Ave
Ste 2
Tempe, AZ 85282
Phone (480) 921-2434

Practitioners & affiliated clinicians

Practitioners 2

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1184825267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 S MILL AVE",
            "address_2": "SUITE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822153",
            "telephone_number": "480-921-2434",
            "fax_number": "480-921-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S MILL AVE",
            "address_2": "SUITE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822153",
            "telephone_number": "480-921-2434",
            "fax_number": "480-921-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EICON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "EICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-921-2434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eicon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.