Organization Active NPI

Hershberger Dental Ceramics

  • Dental Laboratory
  • Glendale, AZ
National Provider Identifier
1659912848
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
Legal business name
HERSHBERGER DENTAL CERAMICS
Practice address
7220 N 55TH Ave
Glendale, AZ 85301-1970
Phone
(623) 934-7614
Fax
(623) 934-7614
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Michael Robert Fortuna
Title
V.P.
Phone
(623) 934-7614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X Primary

Addresses

Primary practice location

7220 N 55TH Ave
Glendale, AZ 85301-1970

Mailing address

7220 N 55TH Ave
Glendale, AZ 85301-1970
Phone (623) 934-7614

National Provider Directory

National Provider Directory

Locations

7220 N 55th Ave
Glendale, AZ 85301
Phone (623) 934-7614

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1659912848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011970",
            "telephone_number": "623-934-7614",
            "fax_number": "623-934-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011970",
            "telephone_number": "623-934-7614",
            "fax_number": "623-934-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHBERGER DENTAL CERAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "FORTUNA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "623-934-7614"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.