Organization Active NPI

Robert L. Critchfield DDS PC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1346439080
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2558 Issued in AZ
Legal business name
ROBERT L. CRITCHFIELD DDS PC
Doing business as
Critchfield Dental
Practice address
18275 N 59TH Ave Ste D120
Glendale, AZ 85308-1266
Phone
(602) 943-7204
Fax
(602) 943-1534
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Robert L. Critchfield, DDS
Title
President/Owner
Phone
(602) 943-7204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2558 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste D120
Glendale, AZ 85308-1266

Mailing address

18275 N 59TH Ave Ste D120
Glendale, AZ 85308-1266
Phone (602) 943-7204

Other names 1

  • Critchfield Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18275 N 59th Ave
Ste 120D
Glendale, AZ 85308
Phone (602) 943-7204

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1346439080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE D120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081266",
            "telephone_number": "602-943-7204",
            "fax_number": "602-943-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE D120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081266",
            "telephone_number": "602-943-7204",
            "fax_number": "602-943-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. CRITCHFIELD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CRITCHFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-943-7204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Critchfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 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.