Organization Active NPI

Avon Dental PLLC

  • Dentist
  • Avondale, AZ
National Provider Identifier
1306031943
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5484 Issued in AZ
Legal business name
AVON DENTAL PLLC
Practice address
10740 W Lower Buckeye Rd Ste 105
Avondale, AZ 85323-9655
Phone
(623) 882-9888
Fax
(623) 882-9207
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. David Marcus Chei, D.M.D.
Title
C.E.O.
Phone
(623) 882-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D5484 AZ Primary

Addresses

Primary practice location

10740 W Lower Buckeye Rd Ste 105
Avondale, AZ 85323-9655

Mailing address

10740 W Lower Buckeye Rd Ste 105
Avondale, AZ 85323-9655
Phone (623) 882-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1306031943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 W LOWER BUCKEYE RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239655",
            "telephone_number": "623-882-9888",
            "fax_number": "623-882-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 W LOWER BUCKEYE RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239655",
            "telephone_number": "623-882-9888",
            "fax_number": "623-882-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "CHEI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "623-882-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.