Organization Active NPI

Epic Family Dental Care Bethany

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1679927958
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Apr 22, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.