Organization Active NPI

Arizona Heights Dentistry@Anthem PC

  • General Practice Dentistry
  • Anthem, AZ
National Provider Identifier
1699739987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4661 Issued in AZ
Legal business name
ARIZONA HEIGHTS DENTISTRY@ANTHEM PC
Practice address
42201 N 41 Dr
Ste 156
Anthem, AZ 85086
Phone
(623) 551-3511
Fax
(623) 551-3513
NPI assigned
Apr 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angela Chun Baskin, DDSNPI 1326299900
Title
Dentist Owner
Phone
(623) 551-3511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4661 AZ Primary

Addresses

Primary practice location

42201 N 41 Dr
Ste 156
Anthem, AZ 85086

Mailing address

42201 N 41 Dr
Ste 156
Anthem, AZ 85086
Phone (623) 551-3511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699739987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42201 N 41 DR",
            "address_2": "STE 156",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-3511",
            "fax_number": "623-551-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42201 N 41 DR",
            "address_2": "STE 156",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-3511",
            "fax_number": "623-551-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HEIGHTS DENTISTRY@ANTHEM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASKIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHUN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "623-551-3511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.