Organization Active NPI

Westwind Dental Glendale, PLLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1437546462
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6543 Issued in AZ
Legal business name
WESTWIND DENTAL GLENDALE, PLLC
Doing business as
Ranch Dental
Practice address
6740 W Camelback Road
Glendale, AZ 85303
Phone
(623) 247-5300
NPI assigned
Apr 16, 2015
Organization subpart
Yes
Parent organization
WESTWIND DENTAL PHOENIXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Melissa Francis
Title
Regional Manager
Phone
(602) 269-7797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D6543 AZ Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D7047 AZ

Addresses

Primary practice location

6740 W Camelback Road
Glendale, AZ 85303

Mailing address

3019 N 35TH Ave
Phoenix, AZ 85017-5206

Other identifiers 1

IdentifierTypeStateIssuer
074462MedicaidAZ

Other names 1

  • Ranch Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Westwind Dental Phoenix

Locations

3019 N 35th Ave
Phoenix, AZ 85017
Phone (602) 269-7797

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1437546462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 W CAMELBACK ROAD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85303",
            "telephone_number": "623-247-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWIND DENTAL GLENDALE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTWIND DENTAL PHOENIX",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "602-269-7797"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6543",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2015; 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.