Ahwatukee Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3885 Issued in AZ

Legal business name

AHWATUKEE FAMILY DENTAL

Practice address

11022 S 51St St Ste 105
Phoenix, AZ 85044-1789

Phone

(480) 893-7674

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Rush, D.D.S.

Title

Owner

Phone

(480) 893-7674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1609128933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441789",
            "telephone_number": "480-893-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-893-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahwatukee Ambulatory Surgical Center, LLC
• Ahwatukee Comfort Care LLC
• Ahwatukee Dentistry, PLLC
• Ahwatukee Dermatology LLC
• Ahwatukee Endodontic Partners LLC (Acacia Endodontics at Ahwatukee LLC)
• Ahwatukee Family Physicians, P.C.
• Ahwatukee Foothills Plastic Surgery PC
• Ahwatukee Foothills Plastic Surgery PC
• Ahwatukee Health Care, LLC (Ahwatukee Health and Recovery)
• Ahwatukee Health Care, LLC (Ahwatukee Behavioral Health and Wellness)

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Oct 10, 2012; 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.