Organization Active NPI

Martin Sobieraj DMD Ms PC

  • Dental Clinic/Center
  • Tempe, AZ
National Provider Identifier
1639726953
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARTIN SOBIERAJ DMD MS PC
Practice address
2125 E Warner Rd Ste 101
Tempe, AZ 85284-3490
Phone
(480) 418-2887
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Dr. Martin Julius Sobieraj, DMD
Title
Director
Phone
(503) 317-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2125 E Warner Rd Ste 101
Tempe, AZ 85284-3490

Mailing address

2714 E Lowell Ave
Gilbert, AZ 85295-2362
Phone (503) 317-8393

Other identifiers 1

IdentifierTypeStateIssuer
D07393OtherAZDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

2125 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 418-2887

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1639726953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 E LOWELL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952362",
            "telephone_number": "503-317-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E WARNER RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843490",
            "telephone_number": "480-418-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SOBIERAJ DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "SOBIERAJ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-317-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D07393",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.