Organization Active NPI

English Oak Associates LLC

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1578020202
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ENGLISH OAK ASSOCIATES LLC
Practice address
25355 N Lake Pleasant Pkwy Unit 103
Peoria, AZ 85383-1504
Phone
(623) 937-1888
Fax
(623) 825-6885
NPI assigned
Feb 28, 2019
Organization subpart
Yes
Parent organization
COOL GREY MANAGEMENT INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Ms. Marina Ambridge
Title
Derector
Phone
(480) 548-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

25355 N Lake Pleasant Pkwy Unit 103
Peoria, AZ 85383-1504

Mailing address

25355 N Lake Pleasant Pkwy Unit 103
Peoria, AZ 85383-1504
Phone (623) 937-1888

Other names 1

  • The Smile Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1578020202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25355 N LAKE PLEASANT PKWY UNIT 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831504",
            "telephone_number": "623-937-1888",
            "fax_number": "623-825-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25355 N LAKE PLEASANT PKWY UNIT 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831504",
            "telephone_number": "623-937-1888",
            "fax_number": "623-825-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLISH OAK ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOL GREY MANAGEMENT INC.",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "AMBRIDGE",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DERECTOR",
        "authorized_official_telephone_number": "480-548-2050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.