Active NPI
Four Peaks Endodontics, LLC
- Endodontics
- Phoenix, AZ
National Provider Identifier
1508730524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- FOUR PEAKS ENDODONTICS, LLC
- Practice address
- 6930 E Chauncey LN Ste 110
Phoenix, AZ 85054-5175 - Phone
- (480) 630-0000
- Fax
- (480) 452-1699
- NPI assigned
- Oct 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristin Hegle
- Title
- Practice Owner
- Phone
- (623) 341-1915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
6930 E Chauncey LN Ste 110
Phoenix, AZ 85054-5175
Mailing address
6930 E Chauncey LN Ste 110
Phoenix, AZ 85054-5175
Phone (480) 630-0000
National Provider Directory
National Provider DirectoryLocations
6930 E Chauncey Ln
Ste 110
Phoenix, AZ 85054
Phone (480) 630-0000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1508730524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6930 E CHAUNCEY LN STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545175",
"telephone_number": "480-630-0000",
"fax_number": "480-452-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 E CHAUNCEY LN STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545175",
"telephone_number": "480-630-0000",
"fax_number": "480-452-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR PEAKS ENDODONTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "HEGLE",
"authorized_official_first_name": "CRISTIN",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "623-341-1915"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Foundry Pediatric Behavioral Health LLC
- Fountain Home Health Inc
- Nicole Fountain
- Fountains Obstetrics & Gynecology, LTD
- Four Corners Counseling and Wellness Inc.
- Four Peaks Medical Supply
- Four Seasons Medical Concierge LLC
- Four Seasons Medical Services LLC
- Derek Fournier
- Whitney Shae Foust, ACNPC-AG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.