A Paul Serrano DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D2814 Issued in AZ

Legal business name

A PAUL SERRANO DDS PC

Practice address

1515 E Missouri
Ste 101
Phoenix, AZ 85014-2443

Phone

(602) 274-7840

Fax

(602) 274-7956

NPI assigned

Aug 15, 2006

Last updated

Dec 2, 2010By 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

Mr. Albert Paul Serrano, DDSNPI 1366783060

Title

Owner/DDS

Phone

(602) 274-7840

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert P Serrano, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
  • NPI 1366783060
  Medicare reassignment Authorized official
• Andrew Philip Serrano, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
  • NPI 1336656024
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1609989748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "602-274-7840",
            "fax_number": "602-274-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI",
            "address_2": "STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "602-274-7840",
            "fax_number": "602-274-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PAUL SERRANO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "602-274-7840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D5543",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.