Organization Active NPI

Endeavor Dental Az LLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1568258465
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENDEAVOR DENTAL AZ LLC
Doing business as
Downtown Phoenix Dental
Practice address
111 W Monroe St Ste 131
Phoenix, AZ 85003-1717
Phone
(435) 671-7956
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Dr. Marc Brandon McKee, DDSNPI 1346452356
Title
Owner
Phone
(435) 671-7956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

111 W Monroe St Ste 131
Phoenix, AZ 85003-1717

Mailing address

618 N Haystack Mountain Dr
Heber City, UT 84032-5637
Phone (435) 671-7956

Other names 1

  • Downtown Phoenix Dental Doing business as

National Provider Directory

National Provider Directory

Locations

111 W Monroe St
Ste 131
Phoenix, AZ 85003
Phone (435) 671-7956

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": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1568258465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N HAYSTACK MOUNTAIN DR",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840325637",
            "telephone_number": "435-671-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MONROE ST STE 131",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031717",
            "telephone_number": "435-671-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR DENTAL AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-671-7956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Phoenix Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.