Westwind Dental Thunderbird

Primary specialty

DentistTaxonomy code 122300000X

License

D6543 Issued in AZ

Legal business name

WESTWIND DENTAL THUNDERBIRD

Doing business as

Kona Dental

Practice address

5141 W Thunderbird Rd
Glendale, AZ 85306-4836

Phone

(602) 863-1913

NPI assigned

Apr 16, 2015

Organization subpart

Yes

Parent organization

WESTWIND DENTAL PHOENIXAs reported in NPPES

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

Authorized official

Name

Melissa Francis

Title

Regional Manager

Phone

(602) 269-7797

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kona Dental Doing business as

Part of

Westwind Dental Phoenix

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Westwind Dental Phoenix

  • Dentist
  • Phoenix, AZ
  • NPI 1346636354
  NPPES parent name

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1689061616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064836",
            "telephone_number": "602-863-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWIND DENTAL THUNDERBIRD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTWIND DENTAL PHOENIX",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "602-269-7797"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6543",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kona Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Westside Surgery Center of Arizona, LLC
• Westwind Dental Glendale, PLLC
• Sherrie Lynn Wethey, B.A.
• Kurt Andrew Wharton, MD
• Carrol E Wheat, D.O.
• Markel Wheeler
• Wheels of Care LLC

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.