Active NPI
Big Smiles Arizona PC
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1568606507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7705
- Legal business name
- BIG SMILES ARIZONA PC
- Practice address
- 1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228 - Phone
- (800) 409-2563
- Fax
- (623) 321-6268
- NPI assigned
- Apr 21, 2009
- Last updated
- Apr 21, 2009
- 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
- Miss Deena Chiriac
- Title
- Credentialing
- Phone
- (800) 409-2563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7705 | AZ | Primary |
Addresses
Primary practice location
1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228
Mailing address
1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228
Phone (800) 409-2563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760508535 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1904 W Parkside Ln
Ste 201
Phoenix, AZ 85027
Phone (623) 551-0986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240272000000",
"number": "1568606507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 W PARKSIDE LN",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271228",
"telephone_number": "800-409-2563",
"fax_number": "623-321-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 W PARKSIDE LN",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271228",
"telephone_number": "800-409-2563",
"fax_number": "623-321-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG SMILES ARIZONA PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A",
"authorized_official_last_name": "CHIRIAC",
"authorized_official_first_name": "DEENA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "800-409-2563",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760508535",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.