NPIMap

Organization Active NPI

Adminisurg LLC

  • Orofacial Pain Dentistry
  • Gilbert, AZ
National Provider Identifier
1598337255
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
ADMINISURG LLC
Practice address
1489 S Higley Rd BLDG 1
Gilbert, AZ 85296-4776
Phone
(480) 945-3629
Fax
(480) 664-8972
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Antonia Teruel Castellon, DMDNPI 1477829927
Title
Owner
Phone
(480) 945-3629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X NU Primary

Addresses

Primary practice location

1489 S Higley Rd BLDG 1
Gilbert, AZ 85296-4776

Mailing address

PO Box 29650 880338
Phoenix, AZ 85038-9650
Phone (480) 945-3629

National Provider Directory

National Provider Directory

Locations

1489 S Higley Rd
Bldg 1
Gilbert, AZ 85296
Phone (480) 945-3629

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1598337255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650 880338",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "480-945-3629",
            "fax_number": "480-664-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 S HIGLEY RD BLDG 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964776",
            "telephone_number": "480-945-3629",
            "fax_number": "480-664-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "TERUEL CASTELLON",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-945-3629",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.