Organization Active NPI

North Phoenix Dental Studio PLLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1407787484
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NORTH PHOENIX DENTAL STUDIO PLLC
Practice address
20333 N 19TH Ave Ste 203
Phoenix, AZ 85027-3627
Phone
(623) 244-4891
Fax
(623) 280-2305
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Lelannie Fatima Yray Coats, DDSNPI 1962176198
Title
Dentist
Phone
(623) 244-4891

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 203
Phoenix, AZ 85027-3627

Mailing address

20333 N 19TH Ave Ste 203
Phoenix, AZ 85027-3627
Phone (623) 244-4891

Other names 1

  • NORTH PHOENIX DENTAL STUDIO Other name

National Provider Directory

National Provider Directory

Locations

20333 N 19th Ave
Ste 203
Phoenix, AZ 85027
Phone (623) 244-4891

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": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1407787484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273627",
            "telephone_number": "623-244-4891",
            "fax_number": "623-280-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273627",
            "telephone_number": "623-244-4891",
            "fax_number": "623-280-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHOENIX DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "LELANNIE FATIMA",
        "authorized_official_middle_name": "YRAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-244-4891",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH PHOENIX DENTAL STUDIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 27, 2026; 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.