North Valley Endodontics, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4411 Issued in AZ

Legal business name

NORTH VALLEY ENDODONTICS, P.A.

Doing business as

Valley Endodontic Specialty Group
Valley Endodontics and Oral Surgery

Practice address

702 E Bell Rd Ste 111
Phoenix, AZ 85022-6639

Phone

(602) 404-3800

Fax

(602) 404-0983

NPI assigned

Jun 27, 2006

Last updated

Apr 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Henebry

Title

Credentialing Coordinator

Phone

(602) 734-4518

Specialties & licenses 1

Addresses

Other names 2

• Valley Endodontic Specialty Group Doing business as
• Valley Endodontics and Oral Surgery Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: drmg@dentalrmg.com

Practitioners 60

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.

• Lauren Berg, DDS

  • Endodontics
  • Phoenix, AZ
  • NPI 1164880779
  NPD
• Luis Enrique Medina Torres, DMD, MS

  • Endodontics
  • Phoenix, AZ
  • NPI 1235628538
  NPD
• Nguyen Phan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
  • NPI 1407304959
  NPD
• Bianca Aboubakare, DMD

  • Endodontics
  • Gilbert, AZ
  • NPI 1447904834
  NPD (past)
• Akber Ali, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1205287448
  NPD (past)
• Kevin T Axx, DDS

  • Endodontics
  • Phoenix, AZ
  • NPI 1831294032
  NPD (past)
• Erica Becker

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1548657315
  NPD (past)
• Adam Bellack, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1427431154
  NPD (past)
• Brent H Bethers, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Buckeye, AZ
  • NPI 1407003650
  NPD (past)
• Jordan Campbell, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Prescott, AZ
  • NPI 1194257022
  NPD (past)
• Jacob R Carroll, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Glendale, AZ
  • NPI 1205192663
  NPD (past)
• Anthony Chen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1770144750
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1659308641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 E INDIAN BEND RD STE 128",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504820",
            "telephone_number": "026-734-4518",
            "fax_number": "602-482-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-404-3800",
            "fax_number": "602-404-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 E Bell Road",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226640",
            "country_code": "US",
            "telephone_number": "602-996-2600",
            "fax_number": "602-314-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14155 N 83rd Ave Ste 141",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815652",
            "country_code": "US",
            "telephone_number": "623-878-1000",
            "fax_number": "623-878-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6520 N 7th Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850131158",
            "country_code": "US",
            "telephone_number": "602-277-5304",
            "fax_number": "602-864-7736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6452 E Carondelet Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102213",
            "country_code": "US",
            "telephone_number": "520-296-3000",
            "fax_number": "520-733-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2979 W Elliot Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852241641",
            "country_code": "US",
            "telephone_number": "480-775-1300",
            "fax_number": "480-775-1304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20100 N 51st Ave Ste C310",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085000",
            "country_code": "US",
            "telephone_number": "623-572-4300",
            "fax_number": "623-572-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7281 E Earll Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852517245",
            "country_code": "US",
            "telephone_number": "480-634-4013",
            "fax_number": "480-634-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3085 W Ina Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412382",
            "country_code": "US",
            "telephone_number": "520-219-1900",
            "fax_number": "520-696-0702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 W Camelback Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850371365",
            "country_code": "US",
            "telephone_number": "623-846-7557",
            "fax_number": "623-846-7595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 N 32nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850184775",
            "country_code": "US",
            "telephone_number": "602-667-3600",
            "fax_number": "602-667-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH VALLEY ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HENEBRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "602-734-4518"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmg@dentalrmg.com",
            "affiliation": "N",
            "address_1": "8121 E Indian Bend Rd Ste 128",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852504820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Endodontic Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Endodontics and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Valley Assisted Living L.L.C
• North Valley Center for Oral and Implant Surgery
• North Valley Center for Oral and Implant Surgery, P.C.
• North Valley Chiropractic Center PC
• North Valley Ear, Nose & Throat Associates, P.C
• North Valley Endoscopy Center LLC
• North Valley Eye Care PC
• North Valley Family Dentist (AZ Cosmetic & Family Dentistry)
• North Valley Head and Neck Surgery, LLC
• North Valley Internal Medicine LLC

• Endodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.