Anthony Robert Valenzuela, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3330AZ Issued in AZ

Practice address

17606 N 59TH Ave
Suite 1
Glendale, AZ 85308-9702

Phone

(623) 225-7345

Fax

(623) 225-7351

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396818332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 N 59TH AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089702",
            "telephone_number": "623-225-7345",
            "fax_number": "623-225-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17606 N 59TH AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089702",
            "telephone_number": "623-225-7345",
            "fax_number": "623-225-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3330AZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Arturo Valdivia, M.D.
• Charlotte E Valdizan
• Kimberly Ann Valentine, RNFA
• Alejandra Guadalupe Valenzuela
• Andrew Valenzuela, MD
• Daira Valenzuela, RBT
• Diana Noemi Valenzuela
• Jessica Valladolid, MSN, APRN, FNP-C
• Valley Allergy and Asthma Clinic PLLC
• Valley Chest & Vascular Surgeons PLLC

• 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 Jul 8, 2007; 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.