NPIMap

Organization Active NPI

Arizona Dental Omnicare, LLC

Doing business as West Thomas Family Dentistry

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1396932034
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARIZONA DENTAL OMNICARE, LLC
Doing business as
West Thomas Family Dentistry
Practice address
4805 W Thomas Rd
Ste a
Phoenix, AZ 85031-4050
Phone
(602) 269-5914
Fax
(602) 269-0083
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Alexander Slepak
Title
Owner/Manager
Phone
(602) 269-5914

Specialties & licenses 1

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

Addresses

Primary practice location

4805 W Thomas Rd
Ste a
Phoenix, AZ 85031-4050

Mailing address

4805 W Thomas Rd
Ste a
Phoenix, AZ 85031-4050
Phone (602) 269-5914

Other names 1

  • West Thomas Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1396932034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 W THOMAS RD",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850314050",
            "telephone_number": "602-269-5914",
            "fax_number": "602-269-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 W THOMAS RD",
            "address_2": "STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850314050",
            "telephone_number": "602-269-5914",
            "fax_number": "602-269-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DENTAL OMNICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "SLEPAK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-269-5914",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Thomas Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.