Organization Active NPI

Four Peaks Endodontics, LLC

  • Endodontics
  • Phoenix, AZ
National Provider Identifier
1508730524
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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

Updated by the provider on Oct 2, 2025

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.