Organization Active NPI

Tru Dental LLC

  • Dental Clinic/Center
  • Peoria, AZ
National Provider Identifier
1386280840
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Nov 20, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NAOtherAZNA

Other names 1

  • NA Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@tru.dental Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.