NPIMap

Organization Active NPI

Crown Dental

  • General Practice Dentistry
  • Anthem, AZ
National Provider Identifier
1689863748
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROWN DENTAL
Doing business as
Dazzle Dental
Practice address
42407 N Vision Way
101
Anthem, AZ 85086-1480
Phone
(623) 551-7500
Fax
(623) 551-2400
NPI assigned
Oct 15, 2007
Organization subpart
Yes
Parent organization
CROWN DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Michael B Hill, DDS
Title
Sr Dentist
Phone
(623) 551-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

42407 N Vision Way
101
Anthem, AZ 85086-1480

Mailing address

42407 N Vision Way
101
Anthem, AZ 85086-1480
Phone (623) 551-7500

Other names 1

  • Dazzle Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Crown Dental

Locations

42407 N Vision Way
Ste 101
Anthem, AZ 85086
Phone (623) 551-7500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1689863748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42407 N VISION WAY",
            "address_2": "101",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861480",
            "telephone_number": "623-551-7500",
            "fax_number": "623-551-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42407 N VISION WAY",
            "address_2": "101",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861480",
            "telephone_number": "623-551-7500",
            "fax_number": "623-551-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWN DENTAL",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SR DENTIST",
        "authorized_official_telephone_number": "623-551-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dazzle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.