NPIMap

Organization Active NPI

Chandler Dental Clinic Inc

Doing business as Chandler Family Dental Care

  • Dentist
  • Chandler, AZ
National Provider Identifier
1386623379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4000 Issued in AZ
Legal business name
CHANDLER DENTAL CLINIC INC
Doing business as
Chandler Family Dental Care
Practice address
4080 W Ray Rd
#21
Chandler, AZ 85226
Phone
(480) 413-1100
Fax
(480) 413-1101
NPI assigned
Jan 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ali H Nia, DMD
Title
Dentist Owner
Phone
(480) 413-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4000 AZ Primary

Addresses

Primary practice location

4080 W Ray Rd
#21
Chandler, AZ 85226

Mailing address

4080 W Ray Rd
#21
Chandler, AZ 85226
Phone (480) 413-1100

Other names 1

  • Chandler Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4080 W Ray Rd
Ste 21
Chandler, AZ 85226
Phone (480) 413-1100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386623379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W RAY RD",
            "address_2": "#21",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-413-1100",
            "fax_number": "480-413-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W RAY RD",
            "address_2": "#21",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-413-1100",
            "fax_number": "480-413-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "480-413-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.