Implants and Periodontal Arts

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IMPLANTS AND PERIODONTAL ARTS

Practice address

3800 W Ray Rd Ste B6
Chandler, AZ 85226-5940

Phone

(480) 963-2787

Fax

(480) 407-6533

NPI assigned

Jun 2, 2021

Last updated

Jun 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chandan Walia, DDSNPI 1548356736

Title

Owner

Phone

(480) 963-2787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Chandan S Walia, D.D.S

  • Periodontics
  • Chandler, AZ
  • NPI 1548356736
  NPD Authorized official

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1477129112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE B6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-963-2787",
            "fax_number": "480-407-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE B6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-963-2787",
            "fax_number": "480-407-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANTS AND PERIODONTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "CHANDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-963-2787",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537911",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Iliescu
• Immaculate Heart of Mary Family Health Center
• Moses Ohiguerhei Imohi, M.D.
• Imove Health LLC
• Impact Healthcare PLLC
• Impressions Dental
• In Focus Counseling LLC
• In My Own Words PLLC
• Lori Ann Incledon, PTA, ATC
• Evan Indahl

• Dental Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.