Active NPI
Allen Samuel Honigman, DDS, MS
- Periodontics
- Tempe, AZ
National Provider Identifier
1275748709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- D5372
- Practice address
- 6601 S Rural Rd
Southwest Dental Group
Tempe, AZ 85283-3747 - Phone
- (480) 456-0821
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D5372 | AZ | Primary |
Addresses
Primary practice location
6601 S Rural Rd
Southwest Dental Group
Tempe, AZ 85283-3747
Mailing address
3800 W Ray Rd
Suite 17
Chandler, AZ 85226-5940
Phone (480) 899-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5372 | AZ | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1275748709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 W RAY RD",
"address_2": "SUITE 17",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852265940",
"telephone_number": "480-899-8668",
"fax_number": "480-899-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 S RURAL RD",
"address_2": "SOUTHWEST DENTAL GROUP",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833747",
"telephone_number": "480-456-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONIGMAN",
"first_name": "ALLEN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AZ",
"license": "D5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.