Dan Nydegger, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5540 Issued in AZ

Practice address

5664 W Bell Rd
Glendale, AZ 85308-3868

Phone

(602) 978-3500

NPI assigned

Mar 6, 2007

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glendale Dental Associates LLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1427690197
  NPD
• Cornerstone Dental PLLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1023963790
  NPD (past)
• DC Dental, LLC

  dba Tiny Teeth Dental Care - Goodyear

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1447487632
  NPD (past)
• Highbury Dental Management, LLC

  • Pediatric Dentistry
  • Goodyear, AZ
  • NPI 1174061790
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1275663791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 W BELL RD STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083868",
            "telephone_number": "602-978-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083868",
            "telephone_number": "602-978-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDEGGER",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "619645",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinenye Nwafor, LPN
• Uche Nwambuonwo, PT, DPT
• Nicole Elizabeth Zack Nwobodo, PA-C
• Kerubo Happiness Nyachieo, PMHNP
• George Oseko Nyakundi, MSN,PMHNP-BC
• Deric H Nye, D.O.
• Elisabetta G Nyholm-Jensen, D.C.
• Michael Nyholm-Jensen, DC
• Shane James Nylin, MD
• Jessica Nystrom, FNP-C

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.