NPIMap

Organization Active NPI

An Elegant Smile P.C.

Doing business as An Elegant Smile Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1285873125
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AN ELEGANT SMILE P.C.
Doing business as
An Elegant Smile Dentistry
Practice address
4550 E Bell Rd Ste 8-178
Phoenix, AZ 85032-9306
Phone
(602) 494-3000
Fax
(602) 494-3005
NPI assigned
Feb 17, 2009
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Monica Vitela
Title
Credential Coordinator
Phone
(602) 482-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU

Addresses

Primary practice location

4550 E Bell Rd Ste 8-178
Phoenix, AZ 85032-9306

Mailing address

4550 E Bell Rd Ste 8-178
Phoenix, AZ 85032
Phone (602) 494-3000

Other names 1

  • An Elegant Smile Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
An Elegant Smile PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4550 E Bell Rd
Ste 8178
Phoenix, AZ 85032
Phone (602) 494-3000

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1285873125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 8-178",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-494-3000",
            "fax_number": "602-494-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 8-178",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "602-494-3000",
            "fax_number": "602-494-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ELEGANT SMILE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "VITELA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "602-482-7000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "An Elegant Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 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.

Verify at the official NPI Registry.