NPIMap

Organization Active NPI

Goodyear Smiles, LLP

Doing business as Goodyear Smiles

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1629220579
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOODYEAR SMILES, LLP
Doing business as
Goodyear Smiles
Practice address
781 South Cotton Lane
Suite 100
Goodyear, AZ 85338
Phone
(623) 882-3636
NPI assigned
Oct 22, 2008
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Paul S Gebhart
Title
Owner Doctor
Phone
(623) 882-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

781 South Cotton Lane
Suite 100
Goodyear, AZ 85338

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2084

Other names 1

  • GOODYEAR SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

781 S Cotton Ln
Ste 100
Goodyear, AZ 85338
Phone (623) 882-3636

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1629220579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2084",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SOUTH COTTON LANE",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-882-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR SMILES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "623-882-3636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOODYEAR SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.