Cncsmiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4440 Issued in AZ

Legal business name

CNCSMILES

Doing business as

Crowley Family Dentistry

Practice address

18001 N 79TH Ave Ste B16
Glendale, AZ 85308-8390

Phone

(623) 486-9333

Fax

(623) 486-9337

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Stoltz

Title

Office Manager

Phone

(623) 486-9333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Crowley Family Dentistry Doing business as

Locations

Practitioners 3

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.

• Mandy Anglin, DMD

  • Dentist
  • Glendale, AZ
  • NPI 1548191307
  NPD (past)
• Kathleen Lynne Crowley, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1124025622
  NPD (past)
• Michael Bradley Crowley, D.D.S.

  • Dentist
  • Glendale, AZ
  • NPI 1295932192
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1386887743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE B16",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088390",
            "telephone_number": "623-486-9333",
            "fax_number": "623-486-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE B16",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088390",
            "telephone_number": "623-486-9333",
            "fax_number": "623-486-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNCSMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-486-9333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7307",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NPI",
            "identifier": "1124025622",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL NPI 2ND DR.",
            "identifier": "1295932192",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Close to Home LLC (Close To Home)
• Douglas Clouse
• Sheryl Clouse, RN
• Eryn Elizabeth Cloutier, MA, LISAC
• Stephen Clymer
• Karissa Bustamante Coates, PA
• Kwenisha Cobbin
• Amy Coble
• Cobra Company of Arizona, Inc.
• Margarita Alicia Coca, O.D.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.