Organization Active NPI

Thomas Family Dental

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1508214172
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5123 Issued in AZ
Legal business name
THOMAS FAMILY DENTAL
Practice address
7333 W Thomas Rd
Suite 72
Phoenix, AZ 85033-5546
Phone
(623) 245-1000
Fax
(623) 245-1010
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Mr. Peter Spilotro, D.D.S.NPI 1679648364
Title
President
Phone
(623) 680-9911

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D5123 AZ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D4664 AZ

Addresses

Primary practice location

7333 W Thomas Rd
Suite 72
Phoenix, AZ 85033-5546

Mailing address

7333 W Thomas Rd
Suite 72
Phoenix, AZ 85033-5546
Phone (623) 245-1000

Other identifiers 2

IdentifierTypeStateIssuer
639651MedicaidAZ
633679MedicaidAZ

National Provider Directory

National Provider Directory

Locations

7333 W Thomas Rd
Ste 72
Phoenix, AZ 85033
Phone (602) 253-6600

Practitioners & affiliated clinicians

Practitioners 2

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": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1508214172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 W THOMAS RD",
            "address_2": "SUITE 72",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335546",
            "telephone_number": "623-245-1000",
            "fax_number": "623-245-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 W THOMAS RD",
            "address_2": "SUITE 72",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850335546",
            "telephone_number": "623-245-1000",
            "fax_number": "623-245-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SPILOTRO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-680-9911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5123",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4664",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639651",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633679",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.