Thomas James Prade, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7027 Issued in AZ

Practice address

13020 W Rancho Santa Fe Blvd Ste 102
Avondale, AZ 85392-2002

Phone

(623) 536-0044

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1598837650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 N. 144TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259",
            "telephone_number": "480-551-3535",
            "fax_number": "480-551-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 W RANCHO SANTA FE BLVD STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853922002",
            "telephone_number": "623-536-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADE",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Amaris Portillo, LCSW
• Elizabeth Powell
• Brynn Powers
• Desirae Powers
• Victoria Anna Powers, MS, CCC-SLP
• Milinda Nina Preciado
• Preferred Body Solutions LLC
• Preferred Healthcare Services
• Premier Group Home
• Vickie Prescott

• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.