Organization Active NPI

Perfectsmilesdentistry LLC

  • Dental Clinic/Center
  • Chandler, AZ
National Provider Identifier
1568050318
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERFECTSMILESDENTISTRY LLC
Practice address
2040 S Alma School Rd Ste 21
Chandler, AZ 85286-7077
Phone
(623) 289-2580
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Tera Goolsby
Title
Accountant
Phone
(623) 289-2616

Specialties & licenses 1

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

Addresses

Primary practice location

2040 S Alma School Rd Ste 21
Chandler, AZ 85286-7077

Mailing address

34225 N 27TH Dr Ste 241
Phoenix, AZ 85085-6091
Phone (623) 289-2616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chandler Direct

National Provider Directory

National Provider Directory

Locations

2040 S Alma School Rd
Ste 21
Chandler, AZ 85286
Phone (480) 814-1333

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1568050318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-289-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S ALMA SCHOOL RD STE 21",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867077",
            "telephone_number": "623-289-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTSMILESDENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "623-289-2616"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chandler",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2040 S Alma School Rd Ste 21",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852867077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 7, 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.