Troy Gombert, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

4908 Issued in AZ

Legal business name

TROY GOMBERT, DDS PC

Practice address

3800 W Ray Rd Ste 2
Chandler, AZ 85226-5940

Phone

(480) 899-2958

Fax

(480) 899-2968

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Shannon Millspaugh

Title

Front Office

Phone

(480) 899-2958

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487859906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-899-2958",
            "fax_number": "480-899-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W RAY RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852265940",
            "telephone_number": "480-899-2958",
            "fax_number": "480-899-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY GOMBERT, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLSPAUGH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "480-899-2958"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.