Active NPI
Westwind Dental Phoenix
Doing business as Moon Family Dentistry
- Dentist
- Phoenix, AZ
National Provider Identifier
1346636354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6543
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D6543 | AZ | Primary |
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074462 | Medicaid | AZ |
Other names 1
- Moon Family Dentistry
National Provider Directory
National Provider DirectoryLocations
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.