Organization Active NPI

Lake Pleasant Orthodontic Specialists

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, AZ
National Provider Identifier
1366627960
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D5668 Issued in AZ
Legal business name
LAKE PLEASANT ORTHODONTIC SPECIALISTS
Practice address
10006 W Happy Valley Rd
Suite1220
Peoria, AZ 85383-1235
Phone
(623) 486-3377
Fax
(623) 825-1987
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Troy L. Christensen, DDS, MS
Title
Orthodontist - Owner
Phone
(623) 486-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D5668 AZ Primary

Addresses

Primary practice location

10006 W Happy Valley Rd
Suite1220
Peoria, AZ 85383-1235

Mailing address

10006 W Happy Valley Rd
Suite1220
Peoria, AZ 85383-1235
Phone (623) 486-3377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1366627960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 W HAPPY VALLEY RD",
            "address_2": "SUITE1220",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831235",
            "telephone_number": "623-486-3377",
            "fax_number": "623-825-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10006 W HAPPY VALLEY RD",
            "address_2": "SUITE1220",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831235",
            "telephone_number": "623-486-3377",
            "fax_number": "623-825-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLEASANT ORTHODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ORTHODONTIST - OWNER",
        "authorized_official_telephone_number": "623-486-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D5668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.