Organization Active NPI

Red Canyon Dentistry L.L.C.

  • Customized Equipment (DME)
  • Gilbert, AZ
National Provider Identifier
1255723177
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
D5661 Issued in AZ
Legal business name
RED CANYON DENTISTRY L.L.C.
Practice address
1534 E Ray Rd Ste 115
Gilbert, AZ 85296-4430
Phone
(480) 279-6010
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Dr. Morris M Oswald, DDSNPI 1144280975
Title
Owner
Phone
(480) 279-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X D5661 AZ Primary

Addresses

Primary practice location

1534 E Ray Rd Ste 115
Gilbert, AZ 85296-4430

Mailing address

1534 E Ray Rd Ste 115
Gilbert, AZ 85296-4430
Phone (480) 279-6010

National Provider Directory

National Provider Directory

Locations

1534 E Ray Rd
Ste 115
Gilbert, AZ 85296
Phone (480) 279-6010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1255723177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964430",
            "telephone_number": "480-279-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964430",
            "telephone_number": "480-279-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CANYON DENTISTRY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-279-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "D5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.