Az GW Ortho LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AZ GW ORTHO LLC

Practice address

3329 E Baseline Rd
Gilbert, AZ 85234-2633

Phone

(480) 632-6868

NPI assigned

Jul 9, 2019

Last updated

Jul 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebonie Marie Gonzales

Title

Credentialing Specialist

Phone

(505) 553-3607

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noel A Williams, D.D.S.,M.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
  • NPI 1467784322
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1508418625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 E WILLIAMS FIELD RD STE 260",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950779",
            "telephone_number": "480-632-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-632-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21321 E Ocotillo Rd Ste G115",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427589",
            "country_code": "US",
            "telephone_number": "480-358-4310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6848 E Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852073706",
            "country_code": "US",
            "telephone_number": "480-832-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3233 E Chandler Blvd Ste 14A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487296",
            "country_code": "US",
            "telephone_number": "480-704-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 E White Mountain BLVD",
            "address_purpose": "LOCATION",
            "city": "Pinetop",
            "state": "AZ",
            "postal_code": "85935",
            "country_code": "US",
            "telephone_number": "480-632-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZ GW ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "505-553-3607"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.