NPIMap

Organization Active NPI

Dental Home Concepts

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1376214478
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL HOME CONCEPTS
Practice address
338 N 15TH Ave
Phoenix, AZ 85007-2402
Phone
(480) 421-8928
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Mr. Michele M Banks, RDHNPI 1972622165
Title
Manager
Phone
(480) 421-8928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

338 N 15TH Ave
Phoenix, AZ 85007-2402

Mailing address

36506 N 33Rd Ave
Phoenix, AZ 85086-0515
Phone (480) 421-8928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1376214478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36506 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850860515",
            "telephone_number": "480-421-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072402",
            "telephone_number": "480-421-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HOME CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-421-8928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Sep 28, 2021; 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.