Active NPI
Elliot Dental Corporation
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1548419906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3889
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1841338118
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.