NPIMap

Organization Active NPI

Smile Clinique Gilbert

  • Dental Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1528440401
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE CLINIQUE GILBERT
Practice address
110 S Val Vista Dr Ste B7
Gilbert, AZ 85296-1373
Phone
(480) 545-3440
NPI assigned
Jun 26, 2015
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Tracy Tran, MS
Title
Administrator
Phone
(408) 234-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

110 S Val Vista Dr Ste B7
Gilbert, AZ 85296-1373

Mailing address

110 S Val Vista Dr Ste B7
Gilbert, AZ 85296-1373
Phone (480) 545-3440

National Provider Directory

National Provider Directory
Tax ID family
Gilbert Dental Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1528440401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VAL VISTA DR STE B7",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961373",
            "telephone_number": "480-545-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VAL VISTA DR STE B7",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961373",
            "telephone_number": "480-545-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CLINIQUE GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-234-5099",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.