Active NPI
DCP Az, LLC
- General Practice Dentistry
- Glendale, AZ
National Provider Identifier
1215014261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DCP AZ, LLC
- Practice address
- 20359 N. 59TH Ave.
Suite 101
Glendale, AZ 85308-6857 - Phone
- (623) 376-9400
- Fax
- (216) 584-1309
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization
- DCP AZ, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosa Lesso
- Title
- RCM National Director
- Phone
- (714) 571-2140
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
20359 N. 59TH Ave.
Suite 101
Glendale, AZ 85308-6857
Mailing address
PO Box 860036
Minneapolis, MN 55486-0036
Phone (714) 571-3325
Other names 1
- West Valley Family Dental
National Provider Directory
National Provider Directory- Tax ID family
- Network Provider Associates
- Part of
- DCP Az LLC
Other organizations with this tax ID 9
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- NPI 1134206170
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- NPI 1144307281
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- NPI 1669559738
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- NPI 1689755142
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- NPI 1861579906
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- General Practice Dentistry
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- NPI 1982781027
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- General Practice Dentistry
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- NPI 1942387014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1215014261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860036",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860036",
"telephone_number": "714-571-3325",
"fax_number": "714-571-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20359 N. 59TH AVE.",
"address_2": "SUITE 101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086857",
"telephone_number": "623-376-9400",
"fax_number": "216-584-1309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DCP AZ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DCP AZ, LLC",
"enumeration_date": "2006-11-01",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "LESSO",
"authorized_official_first_name": "ROSA",
"authorized_official_title_or_position": "RCM NATIONAL DIRECTOR",
"authorized_official_telephone_number": "714-571-2140"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Valley Family Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Valley Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.