NPIMap

Organization Active NPI

Glendale Family Dentistry, PLLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1265618243
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6674 Issued in AZ
Legal business name
GLENDALE FAMILY DENTISTRY, PLLC
Practice address
7448 W Glendale Ave
Ste. 126
Glendale, AZ 85303-2575
Phone
(623) 930-0060
Fax
(623) 930-0667
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Glen S Bui, D.M.D.NPI 1700923984
Title
Dentist/Owner
Phone
(623) 930-0060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D6674 AZ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D6675 AZ

Addresses

Primary practice location

7448 W Glendale Ave
Ste. 126
Glendale, AZ 85303-2575

Mailing address

7448 W Glendale Ave
Ste. 126
Glendale, AZ 85303-2575
Phone (623) 930-0060

National Provider Directory

National Provider Directory

Locations

7448 W Glendale Ave
Ste 126
Glendale, AZ 85303
Phone (623) 930-0060

Practitioners & affiliated clinicians

Practitioners 3

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": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1265618243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 W GLENDALE AVE",
            "address_2": "STE. 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032575",
            "telephone_number": "623-930-0060",
            "fax_number": "623-930-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 W GLENDALE AVE",
            "address_2": "STE. 126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032575",
            "telephone_number": "623-930-0060",
            "fax_number": "623-930-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-930-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6674",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 22, 2008; 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.