Individual provider Active NPI

Puneet Devgun

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1366998643
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009554 Issued in AZ
Practice address
530 E McDowell Rd Ste 101
Phoenix, AZ 85004-1500
Phone
(602) 281-9540
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009554 AZ Primary

Addresses

Primary practice location

530 E McDowell Rd Ste 101
Phoenix, AZ 85004-1500

Mailing address

7501 E McDowell Rd Apt 2047
Scottsdale, AZ 85257-3563
Phone (201) 918-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009554AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weekend Dental Care PLLC Current Accepting new patients
Weekend Dental Care Tempe LLC CurrentSince Jan 10, 2021 Accepting new patients
Weekend Dental Care Mesa LLC Current Accepting new patients

Locations

4202 N 32nd St
Ste E
Phoenix, AZ 85018
Phone (602) 466-3001

408 E Southern Ave
Tempe, AZ 85282
Phone (480) 868-8951

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1366998643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E MCDOWELL RD APT 2047",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573563",
            "telephone_number": "201-918-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E MCDOWELL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041500",
            "telephone_number": "602-281-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVGUN",
        "first_name": "PUNEET",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2016; 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.