Azcdc,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D4274 Issued in AZ

Legal business name

AZCDC,LLC

Practice address

5700 W Olive Ave
Glendale, AZ 85302

Phone

(480) 226-5652

NPI assigned

Aug 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joan L Fox

Title

Dentis

Phone

(480) 226-5652

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1639622103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 5132",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85385",
            "telephone_number": "480-226-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "480-226-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZCDC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "480-226-5652",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D4274",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD4407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Valley Physicians LLC
• Az Wellness Clinic LLC
• Az West Medical Center
• Az Wide Trans LLC
• Az Young Child Counseling LLC
• Ryan Azevedo, PA
• Stephanie Azevedo, PA-C
• B N Chiro
• B. Therapy LLC
• Cesar Baang

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.