Thunderbird Dental Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THUNDERBIRD DENTAL SMILES LLC

Practice address

1820 W Thunderbird Rd Ste 1
Phoenix, AZ 85023-6300

Phone

(602) 993-6080

Fax

(602) 993-6061

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Frank Cichowski, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1144243338

  General Practice

  NPD (past)
• Dara Nicole Feinman, DMD

  • Dentist
  • Phoenix, AZ
  • NPI 1144637331
  NPD (past)
• Jack Luftman

  • Dentist
  • Phoenix, AZ
  • NPI 1710912019
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1336781012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W THUNDERBIRD RD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236300",
            "telephone_number": "602-993-6080",
            "fax_number": "602-993-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W THUNDERBIRD RD STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236300",
            "telephone_number": "602-993-6080",
            "fax_number": "602-993-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD DENTAL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• THS Anesthesia LLC
• THS DME LLC
• THS Iom LLC
• THS Tech Iom LLC
• Thunderbird Dental and Orthodontics PLLC
• Thunderbird Heights Assisted Living LLC
• Thunderbird Internal Medicine
• Thundercloud Optical
• Linda Thunn, P.T.
• Angela M Thurber, R.D.H.

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.