Organization Active NPI

Affordable Family Dentistry of Tempe

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1396013983
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D07636 Issued in AZ
Legal business name
AFFORDABLE FAMILY DENTISTRY OF TEMPE
Practice address
2043 E Southern Ave Ste D
Tempe, AZ 85282-7509
Phone
(480) 897-7000
Fax
(480) 897-7003
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Charles McKenzie, D.D.S.
Title
Owner
Phone
(480) 897-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D07636 AZ Primary

Addresses

Primary practice location

2043 E Southern Ave Ste D
Tempe, AZ 85282-7509

Mailing address

2043 E Southern Ave Ste D
Tempe, AZ 85282-7509
Phone (480) 897-7000

National Provider Directory

National Provider Directory

Locations

2043 E Southern Ave
Ste D
Tempe, AZ 85282
Phone (480) 820-7225

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1396013983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 E SOUTHERN AVE STE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827509",
            "telephone_number": "480-897-7000",
            "fax_number": "480-897-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 E SOUTHERN AVE STE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827509",
            "telephone_number": "480-897-7000",
            "fax_number": "480-897-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE FAMILY DENTISTRY OF TEMPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-897-7000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.