Active NPI
Desert Valley Dentistry
- Dental Clinic/Center
- Glendale, AZ
National Provider Identifier
1609441260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Glendale, AZ
- NPI 1881029650
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
- Desert Sun Smiles, LLC
- Desert Sunshine Mobile Physical Therapy LLC
- Desert Surgical Services, LLC
- Desert Tox Services, LLC
- Desert Valley Care LLC (HomeWell Care Services)
- Desert Valley Surgical Assisting, LLC
- Desert Valley United LLC (Boost Home Healthcare)
- Desert Valley Wellness
- Desert Valley Wellness Medical Group, PC
- Desert Valley Wellness, PLC
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.