Organization Active NPI

Desert Valley Dentistry

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1609441260
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DESERT VALLEY DENTISTRY
Practice address
20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846
Phone
(480) 448-0888
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Dr. Julie Benjamin, DDS
Title
Dentist
Phone
(970) 644-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846

Mailing address

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846
Phone (480) 448-0888

National Provider Directory

National Provider Directory

Locations

20280 N 59th Ave
Ste 104
Glendale, AZ 85308
Phone (480) 448-0888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1609441260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-448-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "480-448-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-644-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.