NPIMap

Organization Active NPI

An Elegant Smile P.C.

Doing business as An Elegant Smile Dentistry

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1609100700
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7144 Issued in AZ
Legal business name
AN ELEGANT SMILE P.C.
Doing business as
An Elegant Smile Dentistry
Practice address
3336 E Chandler Heights Rd BLDG 1
Gilbert, AZ 85298-4259
Phone
(480) 840-6556
Fax
(480) 840-6566
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Monica Vitela
Title
Credentialing Coordinator
Phone
(602) 482-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7144 AZ Primary

Addresses

Primary practice location

3336 E Chandler Heights Rd BLDG 1
Gilbert, AZ 85298-4259

Mailing address

3336 E Chandler Heights Rd BLDG 1
Gilbert, AZ 85298-4259
Phone (480) 840-6556

Other names 1

  • An Elegant Smile Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
An Elegant Smile PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3336 E Chandler Heights Rd
Bldg 1
Gilbert, AZ 85298
Phone (480) 840-6556

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1609100700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD BLDG 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984259",
            "telephone_number": "480-840-6556",
            "fax_number": "480-840-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD BLDG 1",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984259",
            "telephone_number": "480-840-6556",
            "fax_number": "480-840-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN ELEGANT SMILE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "VITELA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "602-482-7000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "An Elegant Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 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.

Verify at the official NPI Registry.