NPIMap

Organization Active NPI

Arizona Dental Professionals, P.C.

Doing business as Deer Valley Family Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1194030031
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
S4313 Issued in AZ
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Doing business as
Deer Valley Family Dentistry
Practice address
19636 N 27TH Ave Ste 110
Phoenix, AZ 85027-4014
Phone
(623) 587-8700
Fax
(623) 587-1704
NPI assigned
Aug 16, 2010
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Carmen Woods
Title
Insurance Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X S4313 AZ Primary

Addresses

Primary practice location

19636 N 27TH Ave Ste 110
Phoenix, AZ 85027-4014

Mailing address

19636 N 27TH Ave Ste 110
Phoenix, AZ 85027-4014
Phone (623) 587-8700

Other names 1

  • Deer Valley Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frank Nelson DDS PC63 organizations share this tax ID, including this one
Part of
Frank Nelson DDS PC

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

19636 N 27th Ave
Ste 110
Phoenix, AZ 85027
Phone (623) 587-8700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1194030031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274014",
            "telephone_number": "623-587-8700",
            "fax_number": "623-587-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274014",
            "telephone_number": "623-587-8700",
            "fax_number": "623-587-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2010-08-16",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "S4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Valley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.