Northside Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHSIDE FAMILY DENTAL CARE

Practice address

18631 N 19TH Ave Ste 108
Phoenix, AZ 85027-5827

Phone

(623) 582-8088

Fax

(623) 582-5346

NPI assigned

Jul 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nagesh GidwaniNPI 1073714861

Title

Dentist

Phone

(623) 582-8088

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nagesh H Gidwani, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1073714861
  NPD (past) Authorized official
• Chitra N Gidwani, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1275734063

  General Practice

  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1508021023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275827",
            "telephone_number": "623-582-8088",
            "fax_number": "623-582-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275827",
            "telephone_number": "623-582-8088",
            "fax_number": "623-582-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GIDWANI",
        "authorized_official_first_name": "NAGESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-582-8088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northcutt Physical Therapy PLLC
• Northeast Phoenix Az Caregiving LLC
• Northern Avenue Eye Care, LLC
• Northern Medical & Optical LLC
• Donald W Northfelt, M.D.
• Northstar Home Health LLC
• Northstar Homecare LLC
• Kristen Northup
• Northview Pain Treatment Center, PLLC
• Northwest Cloinic for Children

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.