Organization Active NPI

Forever Smiles LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1699021329
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D04075 Issued in AZ
Legal business name
FOREVER SMILES LLC
Practice address
13402 N 32ND St
Suite 2
Phoenix, AZ 85032-6047
Phone
(480) 258-2823
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Sharon L Calvert
Title
President
Phone
(480) 258-2823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D04075 AZ Primary

Addresses

Primary practice location

13402 N 32ND St
Suite 2
Phoenix, AZ 85032-6047

Mailing address

13402 N 32ND St
Suite 2
Phoenix, AZ 85032-6047
Phone (480) 258-2823

Other identifiers 1

IdentifierTypeStateIssuer
1164620597OtherAZNPI

Other names 1

  • Forever Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

13402 N 32nd St
Ste 2
Phoenix, AZ 85032
Phone (480) 258-2823

Practitioners & affiliated clinicians

Practitioners 1

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": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1699021329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "480-258-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "480-258-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "CALVERT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-258-2823"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D04075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164620597",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Smiles",
            "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 Oct 11, 2012; 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.