Arizona Pediatric Dentistry and Orthodontic

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D3801 Issued in AZ

Legal business name

ARIZONA PEDIATRIC DENTISTRY AND ORTHODONTIC

Practice address

4145 N 108TH Ave
BLDG K-101
Phoenix, AZ 85037-5463

Phone

(623) 344-2000

Fax

(623) 344-2007

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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

Shashi M. Kapur, D.D.S.

Title

Owner

Phone

(623) 344-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619021490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 N 108TH AVE",
            "address_2": "BLDG K-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375463",
            "telephone_number": "623-344-2000",
            "fax_number": "623-344-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 N 108TH AVE",
            "address_2": "BLDG K-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375463",
            "telephone_number": "623-344-2000",
            "fax_number": "623-344-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PEDIATRIC DENTISTRY AND ORTHODONTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-344-2000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D3801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F00359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arizona Pain Treatment Center, P C
• Arizona Partnership for Immunization (The Arizona Partnership for Immunization)
• Arizona Pathways of Life, Unity and Love (Arizona Pathways)
• Arizona Pediatric Cardiology, LLC
• Arizona Pediatric Clinics PLLC
• Arizona Pediatric PLLC
• Arizona Pediatric Pulmonary & Asthma Associates, P.L.C.
• Arizona Pediatric Urology, P.C.
• Arizona Pediatrics, P.L.L.C.
• Arizona Pediatrics,PLLC

• Pediatric Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.