Organization Active NPI

Wayne Allen Greenwood

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1629189626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5658 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.