San Tan Valley Oral Facial and Implant Surgery PLLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC

Practice address

36327 N Gantzel Rd
Suite 102
San Tan Valley, AZ 85140

Phone

(480) 814-9500

Fax

(520) 210-0442

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Nishith S Shah, D.M.D., M.D.

Title

Doctor/Owner

Phone

(480) 814-9500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase Larue Andreason, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chandler, AZ
  • NPI 1760746986
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1629546171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RAY RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243595",
            "telephone_number": "480-814-9500",
            "fax_number": "480-814-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36327 N GANTZEL RD",
            "address_2": "SUITE 102",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "85140",
            "telephone_number": "480-814-9500",
            "fax_number": "520-210-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN TAN VALLEY ORAL FACIAL AND IMPLANT SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NISHITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "480-814-9500",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Salibi
• Ryan Salter
• Janelle T Sammy, SOCIAL WORKER, LMSW
• San Tan Mountain Chiropractic and Rehab, LLC
• San Tan Primary Care PC
• Santan Kidtastic LLC
• Michelle M Santos, LMT
• Ashley Dawn Savage, CPHT VT
• Save US Foundation
• Abraham Joseph Sayegh, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.