Thunderbird Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THUNDERBIRD DENTISTRY

Doing business as

AZ Cosmetic & Family Dentistry

Practice address

9160 N 43Rd Ave
Glendale, AZ 85302-3801

Phone

(623) 931-9221

Fax

(623) 937-4315

NPI assigned

Dec 17, 2018

Last updated

Sep 14, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BRIVADENTAL LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Leticia Rojas

Title

Manager

Phone

(623) 931-9221

Specialties & licenses 2

Addresses

Other names 1

• AZ Cosmetic & Family Dentistry Doing business as

Part of

Briva Dental LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brivadental LLC

  dba AZ Cosmetic & Family Dentistry

  • Clinic/Center
  • Peoria, AZ
  • NPI 1043645765
  NPPES parent name

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1619449550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023801",
            "telephone_number": "623-931-9221",
            "fax_number": "623-937-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023801",
            "telephone_number": "623-931-9221",
            "fax_number": "623-937-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIVADENTAL LLC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-931-9221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Cosmetic & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamis J Thrasher, CPNP
• Thrive Health LLC
• Thrivewell Health Centers LLC
• Thunderbird Chiropractic, Inc.
• Thunderbird Dental Trust
• Thunderbird Endoscopy Center
• Thunderbird Family Medicine LTD
• Thunderbird Internal Medicine, LTD.
• Thunderbird Obstetrics & Gynecology, LTD.
• Thunderbird Podiatry (Southwest Foot and Ankle Consultants)

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.