Active NPI
Tru Dental LLC
- Dental Clinic/Center
- Peoria, AZ
National Provider Identifier
1386280840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TRU DENTAL LLC
- Practice address
- 8325 W. Happy Valley Rd
Building 1 Suite 100
Peoria, AZ 85383-8538 - Phone
- (623) 210-3416
- NPI assigned
- Nov 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Vaughn
- Title
- Owner
- Phone
- (623) 210-3416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
8325 W. Happy Valley Rd
Building 1 Suite 100
Peoria, AZ 85383-8538
Mailing address
26943 N 97TH LN
Peoria, AZ 85383-2931
Phone (623) 210-3416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | AZ | NA |
Other names 1
- NA
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | office@tru.dental | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574208000000",
"number": "1386280840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26943 N 97TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832931",
"telephone_number": "623-210-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 W. HAPPY VALLEY RD",
"address_2": "BUILDING 1 SUITE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853838538",
"telephone_number": "623-210-3416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRU DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-210-3416"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "office@tru.dental",
"affiliation": "N",
"endpointDescription": "Office Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8325 W. Happy Valley Rd",
"address_2": "Building 1 Suite 100",
"city": "Peoria",
"state": "AZ",
"country_code": "US",
"postal_code": "853838538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NA",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.