NPIMap

Organization Active NPI

Dysart Dental, LLC

  • Dentist
  • Litchfield Park, AZ
National Provider Identifier
1497962971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6715 Issued in AZ
Legal business name
DYSART DENTAL, LLC
Practice address
5220 N. Dysart Rd.
Suite 160
Litchfield Park, AZ 85340
Phone
(623) 935-0500
Fax
(623) 535-3897
NPI assigned
May 16, 2007
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
Dr. Tracy Bry Thomas, D.D.S.NPI 1588629471
Title
Owner
Phone
(623) 935-0500

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6715 AZ Primary

Addresses

Primary practice location

5220 N. Dysart Rd.
Suite 160
Litchfield Park, AZ 85340

Mailing address

5220 N. Dysart Rd.
Suite 160
Litchfield Park, AZ 85340
Phone (623) 935-0500

National Provider Directory

National Provider Directory

Locations

5220 N Dysart Rd
Ste 160
Litchfield Park, AZ 85340
Phone (623) 935-0500

Practitioners & affiliated clinicians

Practitioners 3

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497962971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 N. DYSART RD.",
            "address_2": "SUITE 160",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-935-0500",
            "fax_number": "623-535-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 N. DYSART RD.",
            "address_2": "SUITE 160",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-935-0500",
            "fax_number": "623-535-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYSART DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "BRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-935-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, 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.