Organization Active NPI

Desert View Dental PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1245604222
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5479 Issued in AZ
Legal business name
DESERT VIEW DENTAL PLLC
Practice address
770 E Thunderbird Rd
Suite B
Phoenix, AZ 85022-5307
Phone
(602) 866-9704
Fax
(602) 866-9706
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Dr. Rahul KodeNPI 1518087246
Title
Owner/Dentist
Phone
(602) 909-7103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5479 AZ Primary

Addresses

Primary practice location

770 E Thunderbird Rd
Suite B
Phoenix, AZ 85022-5307

Mailing address

770 E Thunderbird Rd
Suite B
Phoenix, AZ 85022-5307
Phone (602) 866-9704

National Provider Directory

National Provider Directory

Locations

770 E Thunderbird Rd
Ste B
Phoenix, AZ 85022
Phone (602) 866-9704

Practitioners & affiliated clinicians

Practitioners 1

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1245604222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E THUNDERBIRD RD",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225307",
            "telephone_number": "602-866-9704",
            "fax_number": "602-866-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E THUNDERBIRD RD",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225307",
            "telephone_number": "602-866-9704",
            "fax_number": "602-866-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KODE",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-909-7103",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 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.