Active NPI
Epic Family Dental Care Bethany
- Dentist
- Phoenix, AZ
National Provider Identifier
1679927958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- EPIC FAMILY DENTAL CARE BETHANY
- Practice address
- 2101 W Bethany Home Rd
Phoenix, AZ 85015-1936 - Phone
- (602) 249-4453
- Fax
- (480) 249-9270
- NPI assigned
- Apr 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudia Ruiz
- Title
- Managing Owner
- Phone
- (602) 249-4453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2101 W Bethany Home Rd
Phoenix, AZ 85015-1936
Mailing address
2101 W Bethany Home Rd
Phoenix, AZ 85015-1936
Phone (602) 249-4453
Other names 1
- Epic Family Dental Care
National Provider Directory
National Provider DirectoryLocations
2101 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 249-4453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461283200000",
"number": "1679927958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151936",
"telephone_number": "602-249-4453",
"fax_number": "480-249-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151936",
"telephone_number": "602-249-4453",
"fax_number": "480-249-9270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC FAMILY DENTAL CARE BETHANY",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "602-249-4453"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Epic Family Dental Care",
"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 Apr 22, 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.