Organization Active NPI

Aaa Dental Care PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1457478299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5073 Issued in AZ
Legal business name
AAA DENTAL CARE PC
Practice address
4837 N 35TH Ave
Phoenix, AZ 85017-3011
Phone
(602) 242-5406
Fax
(602) 242-5407
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ashley T Bui, DDS
Title
Dentist
Phone
(602) 242-5406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5073 AZ Primary

Addresses

Primary practice location

4837 N 35TH Ave
Phoenix, AZ 85017-3011

Mailing address

4837 N 35TH Ave
Phoenix, AZ 85017-3011
Phone (602) 242-5406

Other identifiers 1

IdentifierTypeStateIssuer
480468MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4837 N 35th Ave
Phoenix, AZ 85017
Phone (602) 242-5406

Practitioners & affiliated clinicians

Practitioners 4

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457478299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173011",
            "telephone_number": "602-242-5406",
            "fax_number": "602-242-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173011",
            "telephone_number": "602-242-5406",
            "fax_number": "602-242-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-242-5406",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.