NPIMap

Organization Active NPI

DC Dental, LLC

Doing business as Tiny Teeth Dental Care - Goodyear

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1447487632
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DC DENTAL, LLC
Doing business as
Tiny Teeth Dental Care - Goodyear
Practice address
15661 W. Roosevelt Street
Suite 102
Goodyear, AZ 85338
Phone
(623) 882-1400
Fax
(623) 882-1300
NPI assigned
Jun 16, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Tony Navarra
Title
Vice President
Phone
(602) 889-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

15661 W. Roosevelt Street
Suite 102
Goodyear, AZ 85338

Mailing address

4244 N 19TH Ave
Phoenix, AZ 85015-5108

Other names 1

  • Tiny Teeth Dental Care - Goodyear Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1447487632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4244 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 W. ROOSEVELT STREET",
            "address_2": "SUITE 102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-882-1400",
            "fax_number": "623-882-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "NAVARRA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-889-4333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiny Teeth Dental Care - Goodyear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.