Visionary Alliance Healthcare Investment, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VISIONARY ALLIANCE HEALTHCARE INVESTMENT, LLC

Doing business as

Millennium Dental Associates

Practice address

5705 N Scottsdale Rd Ste 110
Scottsdale, AZ 85250-5910

Phone

(480) 948-0560

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Gilbert Antonio Morlock

Title

Coo

Phone

(480) 840-4038

Specialties & licenses 1

Addresses

Other names 1

• Millennium Dental Associates Doing business as

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: info@mildental.com

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1548929110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505910",
            "telephone_number": "480-948-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 N SCOTTSDALE RD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505910",
            "telephone_number": "480-948-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY ALLIANCE HEALTHCARE INVESTMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "MORLOCK",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-840-4038"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@milldental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5705 N Scottsdale Rd Ste 110",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852505910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mildental.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5705 N Scottsdale Rd Ste 110",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852505910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Millennium Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.