Individual provider Active NPI

Liat Furyan-Banach, DDS

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1508085473
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6471 Issued in AZ
Practice address
2950 N Dobson Rd
Suite 18
Chandler, AZ 85224-1800
Phone
(480) 899-0448
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6471 AZ Primary

Addresses

Primary practice location

2950 N Dobson Rd
Suite 18
Chandler, AZ 85224-1800

Mailing address

22307 N Dietz Dr
Maricopa, AZ 85138-5560
Phone (520) 705-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6471AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1508085473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22307 N DIETZ DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385560",
            "telephone_number": "520-705-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD",
            "address_2": "SUITE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241800",
            "telephone_number": "480-899-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURYAN-BANACH",
        "first_name": "LIAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.