NPIMap

Organization Active NPI

Paradise Valley Family Dental LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1265702823
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARADISE VALLEY FAMILY DENTAL LLC
Practice address
4001 E Bell Rd Ste 120
Phoenix, AZ 85032-2242
Phone
(602) 992-5600
Fax
(602) 992-2442
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Marlene Montes
Title
Front Office
Phone
(602) 992-5600

Specialties & licenses 1

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

Addresses

Primary practice location

4001 E Bell Rd Ste 120
Phoenix, AZ 85032-2242

Mailing address

4001 E Bell Rd Ste 120
Phoenix, AZ 85032-2242
Phone (602) 992-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1265702823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BELL RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322242",
            "telephone_number": "602-992-5600",
            "fax_number": "602-992-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BELL RD STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322242",
            "telephone_number": "602-992-5600",
            "fax_number": "602-992-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE VALLEY FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "602-992-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "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 Jan 12, 2012; 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.