Active NPI
Wayne Allen Greenwood
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1629189626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5658
- Legal business name
- WAYNE ALLEN GREENWOOD
- Doing business as
- Grenwood Family Dental
- Practice address
- 8422 E Shea Blvd
Suite 104
Scottsdale, AZ 85260-6661 - Phone
- (480) 315-1044
- Fax
- (480) 315-1042
- NPI assigned
- Aug 31, 2006
- 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
- Ms. Kristi Lynn Gehr
- Title
- Office Manager
- Phone
- (480) 315-1044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5658 | AZ | Primary |
Addresses
Primary practice location
8422 E Shea Blvd
Suite 104
Scottsdale, AZ 85260-6661
Mailing address
8422 E Shea Blvd
Suite 104
Scottsdale, AZ 85260-6661
Phone (480) 215-1044
Other names 1
- Grenwood Family Dental
National Provider Directory
National Provider DirectoryLocations
8422 E Shea Blvd
Ste 104
Scottsdale, AZ 85260
Phone (480) 315-1044
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
- Scottsdale, AZ
- NPI 1700292570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629189626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 E SHEA BLVD",
"address_2": "SUITE 104",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606661",
"telephone_number": "480-215-1044",
"fax_number": "480-315-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8422 E SHEA BLVD",
"address_2": "SUITE 104",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606661",
"telephone_number": "480-315-1044",
"fax_number": "480-315-1042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE ALLEN GREENWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GEHR",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "480-315-1044",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grenwood Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scottsdale, 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.