Aziz Bohra, DDS, PLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

AZIZ BOHRA, DDS, PLC

Doing business as

West Valley Periodontics

Practice address

18731 N. Reems Road
Suite # F620
Surprise, AZ 85374

Phone

(623) 556-1294

Fax

(623) 556-2965

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Aziz Bohra, DDS, MS

Title

Member

Phone

(623) 556-1294

Specialties & licenses 1

Addresses

Other names 1

• West Valley Periodontics Doing business as

Locations

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1376249938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18731 N. REEMS ROAD",
            "address_2": "SUITE # F620",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-556-1294",
            "fax_number": "623-556-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18731 N. REEMS ROAD",
            "address_2": "SUITE # F620",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-556-1294",
            "fax_number": "623-556-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZ BOHRA, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BOHRA",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-556-1294",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Periodontics in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.