NPIMap

Organization Active NPI

Promenade Dental Group, LLP

Doing business as Promenade Dental Group

  • General Practice Dentistry
  • Tolleson, AZ
National Provider Identifier
1285798462
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROMENADE DENTAL GROUP, LLP
Doing business as
Promenade Dental Group
Practice address
2755 S 99TH Ave
Ste 105
Tolleson, AZ 85353
Phone
(623) 478-1624
Fax
(623) 907-5854
NPI assigned
Dec 21, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Brian D Buehler, DDSNPI 1932113008
Title
Owner DDS
Phone
(623) 478-1624

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2755 S 99TH Ave
Ste 105
Tolleson, AZ 85353

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • PROMENADE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

2755 S 99th Ave
Ste 105
Tolleson, AZ 85353
Phone (623) 478-1624

Practitioners & affiliated clinicians

Practitioners 9

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1285798462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S 99TH AVE",
            "address_2": "STE 105",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "85353",
            "telephone_number": "623-478-1624",
            "fax_number": "623-907-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMENADE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "623-478-1624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMENADE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.