NPIMap

Organization Active NPI

Swiss Biologic Dentistry, LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1639700735
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SWISS BIOLOGIC DENTISTRY, LLC
Practice address
4202 N 32ND St Ste a
Phoenix, AZ 85018-4764
Phone
(602) 956-4807
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Amelia Hazard, DMDNPI 1740578996
Title
Doctor
Phone
(520) 360-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4202 N 32ND St Ste a
Phoenix, AZ 85018-4764

Mailing address

4202 N 32ND St Ste a
Phoenix, AZ 85018-4764

Other names 1

  • Integrative Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1639700735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 N 32ND ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 N 32ND ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184764",
            "telephone_number": "602-956-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISS BIOLOGIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "HAZARD",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "520-360-5603",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.