Organization Active NPI

McDowell Dentistry, LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1578759957
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6399 Issued in AZ
Legal business name
MCDOWELL DENTISTRY, LLC
Practice address
2323 W Mescal St
Suite 205
Phoenix, AZ 85029-4764
Phone
(602) 944-0073
Fax
(602) 944-0371
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. George R Ayoub, DDS
Title
Dentist
Phone
(602) 944-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6399 AZ Primary

Addresses

Primary practice location

2323 W Mescal St
Suite 205
Phoenix, AZ 85029-4764

Mailing address

14122 W McDowell Rd
Suite 200
Goodyear, AZ 85395-2503
Phone (602) 944-0073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1578759957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14122 W MCDOWELL RD",
            "address_2": "SUITE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952503",
            "telephone_number": "602-944-0073",
            "fax_number": "602-944-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W MESCAL ST",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294764",
            "telephone_number": "602-944-0073",
            "fax_number": "602-944-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-944-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6399",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2007; 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.