Amberwood Dental Partners

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AMBERWOOD DENTAL PARTNERS

Doing business as

Allegra Dental

Practice address

840 E McKellips Rd Ste 101
Mesa, AZ 85203-9654

Phone

(480) 656-9616

Fax

(480) 534-7021

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST WEST DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Todd Nicholas

Title

Owner

Phone

(480) 427-6419

Specialties & licenses 1

Addresses

Other names 1

• Allegra Dental Doing business as

Part of

Amberwood Dental Partners

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1316423353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "480-656-9616",
            "fax_number": "480-534-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "480-656-9616",
            "fax_number": "480-534-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERWOOD DENTAL PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST WEST DENTAL GROUP",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-427-6419"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegra Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambucare Tumn LLC
• Humaira Ameer, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.