Organization Active NPI

Lux Dental Group of Arizona LLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1386030567
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUX DENTAL GROUP OF ARIZONA LLC
Practice address
8055 N Via de Negocio
Scottsdale, AZ 85258-4313
Phone
(480) 607-6937
Fax
(480) 607-6973
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Gregory P Fuller, DDS
Title
Owner
Phone
(480) 607-6937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AZ Primary

Addresses

Primary practice location

8055 N Via de Negocio
Scottsdale, AZ 85258-4313

Mailing address

8055 N Via de Negocio
Scottsdale, AZ 85258-4313
Phone (480) 607-6937

National Provider Directory

National Provider Directory

Locations

8055 N Via de Negocio
Scottsdale, AZ 85258
Phone (480) 607-6937

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": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1386030567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 N VIA DE NEGOCIO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584313",
            "telephone_number": "480-607-6937",
            "fax_number": "480-607-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 N VIA DE NEGOCIO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584313",
            "telephone_number": "480-607-6937",
            "fax_number": "480-607-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX DENTAL GROUP OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-607-6937",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.