Organization Active NPI

Elliot Dental Corporation

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1548419906
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3889 Issued in AZ
Legal business name
ELLIOT DENTAL CORPORATION
Practice address
2987 W Elliot Rd
Suite 1
Chandler, AZ 85224-1669
Phone
(480) 963-6300
Fax
(480) 963-8499
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Robyn Rae Skipper, COO
Title
Chief Operating Officer
Phone
(480) 963-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3889 AZ Primary

Addresses

Primary practice location

2987 W Elliot Rd
Suite 1
Chandler, AZ 85224-1669

Mailing address

2987 W Elliot Rd
Suite 1
Chandler, AZ 85224-1669
Phone (480) 963-6300

National Provider Directory

National Provider Directory

Locations

2987 W Elliot Rd
Ste 1
Chandler, AZ 85224
Phone (480) 963-6300

Practitioners & affiliated clinicians

Practitioners 1

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": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1548419906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2987 W ELLIOT RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241669",
            "telephone_number": "480-963-6300",
            "fax_number": "480-963-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 W ELLIOT RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241669",
            "telephone_number": "480-963-6300",
            "fax_number": "480-963-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-963-6300",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.