Active NPI
Western Dental Services, Inc.
- General Practice Dentistry
- Phoenix, AZ
National Provider Identifier
1629116579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WESTERN DENTAL SERVICES, INC.
- Practice address
- 13651 N 35TH Ave
Phoenix, AZ 85029-1267 - Phone
- (602) 843-7501
- Fax
- (602) 548-9597
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 22, 2020
- 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
- Cindy E Avalos
- Title
- Ppocoordinator
- Phone
- (714) 480-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
13651 N 35TH Ave
Phoenix, AZ 85029-1267
Mailing address
530 S Main St
Orange, CA 92868-4525
Phone (714) 480-3000
National Provider Directory
National Provider Directory- Tax ID family
- Western Dental Services Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1083751713
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1649306093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629116579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684525",
"telephone_number": "714-480-3000",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13651 N 35TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850291267",
"telephone_number": "602-843-7501",
"fax_number": "602-548-9597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN DENTAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AVALOS",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PPOCOORDINATOR",
"authorized_official_telephone_number": "714-480-3000"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- 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.