NPIMap

Organization Active NPI

Arizona Healthcare Outreach

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1699307306
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARIZONA HEALTHCARE OUTREACH
Practice address
3581 W Northern Ave Ste 8
Phoenix, AZ 85051-9404
Phone
(480) 830-9555
Fax
(480) 499-0083
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Mrs. Collette Barr, APRDHNPI 1699308049
Title
Director
Phone
(480) 830-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Voluntary or Charitable Agency 251V00000X
Clinic/Center 261Q00000X
Dental Clinic/Center 261QD0000X Primary
Health Service Clinic/Center 261QH0100X
Migrant Health Clinic/Center 261QM1000X
State or Local Public Health Clinic/Center 261QP0905X
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

3581 W Northern Ave Ste 8
Phoenix, AZ 85051-9404

Mailing address

4037 E Garnet Cir
Mesa, AZ 85206-3266
Phone (480) 830-9555

National Provider Directory

National Provider Directory

Locations

3581 W Northern Ave
Ste 8
Phoenix, AZ 85051
Phone (480) 830-9555

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1699307306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 E GARNET CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063266",
            "telephone_number": "480-830-9555",
            "fax_number": "480-499-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 W NORTHERN AVE STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519404",
            "telephone_number": "480-830-9555",
            "fax_number": "480-499-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HEALTHCARE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-830-9555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRDH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 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.