Organization Active NPI

Pleasant Valley Dentistry, PLLC

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1477708774
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5928 Issued in AZ
Legal business name
PLEASANT VALLEY DENTISTRY, PLLC
Practice address
9784 W Yearling Rd
#1500
Peoria, AZ 85383-1379
Phone
(623) 561-1470
Fax
(623) 561-1169
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Ivan Dario Tovar, D.D.S.NPI 1588751986
Title
President/Owner
Phone
(623) 561-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5928 AZ Primary

Addresses

Primary practice location

9784 W Yearling Rd
#1500
Peoria, AZ 85383-1379

Mailing address

9784 W Yearling Rd
#1500
Peoria, AZ 85383-1379
Phone (623) 561-1470

National Provider Directory

National Provider Directory

Locations

9784 W Yearling Rd
Unit 1500
Peoria, AZ 85383
Phone (623) 561-1470

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1477708774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD",
            "address_2": "#1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-561-1470",
            "fax_number": "623-561-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD",
            "address_2": "#1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-561-1470",
            "fax_number": "623-561-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "TOVAR",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-561-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.