Organization Active NPI

Arrowhead Childrens Dentistry, PLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1407137789
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4673 Issued in AZ
Legal business name
ARROWHEAD CHILDRENS DENTISTRY, PLC
Practice address
18700 N 64TH Dr
Suite 302
Glendale, AZ 85308-7109
Phone
(623) 825-0100
Fax
(623) 825-0409
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Dr. Jane M. Thomason, DDSNPI 1750462826
Title
Owner
Phone
(623) 825-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4673 AZ Primary

Addresses

Primary practice location

18700 N 64TH Dr
Suite 302
Glendale, AZ 85308-7109

Mailing address

18700 N 64TH Dr
Suite 302
Glendale, AZ 85308-7109
Phone (623) 825-0100

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.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1407137789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR",
            "address_2": "SUITE 302",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087109",
            "telephone_number": "623-825-0100",
            "fax_number": "623-825-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR",
            "address_2": "SUITE 302",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087109",
            "telephone_number": "623-825-0100",
            "fax_number": "623-825-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD CHILDRENS DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-825-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.