Organization Active NPI

Westwind Dental Phoenix

Doing business as Moon Family Dentistry

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1346636354
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6543 Issued in AZ
Legal business name
WESTWIND DENTAL PHOENIX
Doing business as
Moon Family Dentistry
Practice address
3019 N 35TH Ave
Phoenix, AZ 85017-5206
Phone
(602) 269-7797
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Melissa Francis
Title
Regional Manager
Phone
(602) 269-7797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D6543 AZ Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D7047 AZ

Addresses

Primary practice location

3019 N 35TH Ave
Phoenix, AZ 85017-5206

Mailing address

3019 N 35TH Ave
Phoenix, AZ 85017-5206
Phone (602) 269-7797

Other identifiers 1

IdentifierTypeStateIssuer
074462MedicaidAZ

Other names 1

  • Moon Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3019 N 35th Ave
Phoenix, AZ 85017
Phone (602) 269-7797

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1346636354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175206",
            "telephone_number": "602-269-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175206",
            "telephone_number": "602-269-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWIND DENTAL PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "602-269-7797"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6543",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.