NPIMap

Organization Active NPI

Paseo Dental PLLC

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1346322260
Registry record updated Apr 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2607 Issued in AZ
Legal business name
PASEO DENTAL PLLC
Practice address
6120 West Bell Rd
Suite 190
Glendale, AZ 85308-3786
Phone
(602) 978-3878
Fax
(602) 978-1481
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2010

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

Authorized official

Name
Dr. Out Of Business, DMD
Title
Member
Phone
(602) 978-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2607 AZ Primary

Addresses

Primary practice location

6120 West Bell Rd
Suite 190
Glendale, AZ 85308-3786

Mailing address

6120 West Bell Rd
Suite 190
Glendale, AZ 85308-3786
Phone (602) 978-3878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270857600000",
    "number": "1346322260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 WEST BELL RD",
            "address_2": "SUITE 190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083786",
            "telephone_number": "602-978-3878",
            "fax_number": "602-978-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WEST BELL RD",
            "address_2": "SUITE 190",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083786",
            "telephone_number": "602-978-3878",
            "fax_number": "602-978-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASEO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-04-10",
        "status": "A",
        "authorized_official_last_name": "BUSINESS",
        "authorized_official_first_name": "OUT",
        "authorized_official_middle_name": "OF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-978-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2607",
            "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 Apr 10, 2010; 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.