Center for Pediatric Dentistry, L.L.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CENTER FOR PEDIATRIC DENTISTRY, L.L.C.

Practice address

2571 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6233

Phone

(480) 597-5536

Fax

(480) 597-5624

NPI assigned

May 29, 2007

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karla Abdoll

Title

Practice Administrator

Phone

(480) 597-5536

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rassa Abdollahzadeh, D.M.D.

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1225074040
  NPD (past)
• Romona L. Davis, DDS

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1679517163
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1689875791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956233",
            "telephone_number": "480-597-5536",
            "fax_number": "480-597-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956233",
            "telephone_number": "480-597-5536",
            "fax_number": "480-597-5624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Ray Rd",
            "address_2": "Ste# 2",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852247342",
            "country_code": "US",
            "telephone_number": "480-782-5437",
            "fax_number": "480-857-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "ABDOLL",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-597-5536"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS ID #",
            "identifier": "590291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center at Val Vista, LLC (The Center at Val Vista)
• Center for Orthopedic Research and Education (The CORE Institute)
• Center for Orthopedic Research and Education LLC (Arizona Neurosurgery & Spine Specialists)
• Center for Orthopedic Research and Education LLC
• Center for Orthopedic Research and Education, LLC (The CORE Institute)
• Center for Vein Restoration Az LLC
• Centerwell Senior Primary Care Az CS PC (CenterWell Senior Primary Care-Val Vista)
• Ligita Centorino, NP
• Central Arizona Gi & Liver Institute LLC (AZ Gastro Care Endoscopy Center)
• Centric Chiropractic, PLLC

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.