NPIMap

Organization Active NPI

Goodyear Endodontics, P.C.

  • Endodontics
  • Goodyear, AZ
National Provider Identifier
1457579062
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3266 Issued in AZ
Legal business name
GOODYEAR ENDODONTICS, P.C.
Practice address
1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1387
Phone
(623) 535-7899
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Robert Stephen Kane, D.D.S.
Title
President
Phone
(623) 535-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 3266 AZ Primary

Addresses

Primary practice location

1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1387

Mailing address

1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1387
Phone (623) 535-7899

National Provider Directory

National Provider Directory
Tax ID family
Goodyear Endodontics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1457579062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD",
            "address_2": "#260",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951387",
            "telephone_number": "623-535-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 N LITCHFIELD RD",
            "address_2": "#260",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951387",
            "telephone_number": "623-535-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-535-7899",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "3266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2013; 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.