Active NPI
Forever Smiles LLC
- Dentist
- Phoenix, AZ
National Provider Identifier
1699021329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D04075
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164620597 | Other | AZ | NPI |
Other names 1
- Forever Smiles
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Phoenix, AZ
- NPI 1184606832
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.