Organization Active NPI

Victor Cosmetic and Family Dentistry LLC

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1427077619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5440 Issued in AZ
Legal business name
VICTOR COSMETIC AND FAMILY DENTISTRY LLC
Practice address
8663 W Union Hills Dr
Sute #400
Peoria, AZ 85382-7004
Phone
(623) 933-8500
Fax
(623) 933-8501
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vicki Lynn Curry
Title
Office Manager
Phone
(623) 933-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5440 AZ Primary

Addresses

Primary practice location

8663 W Union Hills Dr
Sute #400
Peoria, AZ 85382-7004

Mailing address

8663 W Union Hills Dr
Sute #400
Peoria, AZ 85382-7004
Phone (623) 933-8500

National Provider Directory

National Provider Directory

Locations

8663 W Union Hills Dr
Ste 400
Peoria, AZ 85382
Phone (623) 933-8500

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427077619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8663 W UNION HILLS DR",
            "address_2": "SUTE #400",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827004",
            "telephone_number": "623-933-8500",
            "fax_number": "623-933-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8663 W UNION HILLS DR",
            "address_2": "SUTE #400",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827004",
            "telephone_number": "623-933-8500",
            "fax_number": "623-933-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR COSMETIC AND FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-933-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5440",
            "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 Aug 22, 2020; 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.