Organization Active NPI

Half Dental Inc

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1396087193
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
461 Issued in NV
Legal business name
HALF DENTAL INC
Practice address
13460 N 94TH Dr Ste K-4
Peoria, AZ 85381
Phone
(702) 876-2525
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Ms. Tracy Hanh Tran, MS
Title
Manager
Phone
(702) 876-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 461 NV Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste K-4
Peoria, AZ 85381

Mailing address

13460 N 94TH Dr Ste K-4
Peoria, AZ 85381
Phone (702) 876-2525

National Provider Directory

National Provider Directory

Locations

13460 N 94th Dr
Ste K4
Peoria, AZ 85381
Phone (232) 231-0366

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1396087193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE K-4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "702-876-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE K-4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "702-876-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "HANH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-876-2525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2013; 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.