NPIMap

Organization Active NPI

75TH Ave Dental Studio

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1316607401
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
75TH AVE DENTAL STUDIO
Practice address
7025 N 75TH Ave Ste 101
Glendale, AZ 85303-2545
Phone
(480) 205-6961
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Dr. Manpreet Badyal, DDSNPI 1265581235
Title
Dentist
Phone
(480) 205-6961

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 DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7025 N 75TH Ave Ste 101
Glendale, AZ 85303-2545

Mailing address

7025 N 75TH Ave Ste 101
Glendale, AZ 85303-2545
Phone (480) 205-6961

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1316607401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N 75TH AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032545",
            "telephone_number": "480-205-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N 75TH AVE STE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853032545",
            "telephone_number": "480-205-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "75TH AVE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BADYAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-205-6961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.