Andrew E Forman Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1625 Issued in AZ

Legal business name

ANDREW E FORMAN ORTHODONTICS LLC

Practice address

20100 N 51St Ave
Suite B230
Glendale, AZ 85308-5125

Phone

(602) 843-1000

Fax

(480) 443-7165

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew E Forman, DDS MS

Title

Manager

Phone

(602) 843-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1699833210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 E SHEA BLVD",
            "address_2": "SUITE # 109-312",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546107",
            "telephone_number": "602-843-1000",
            "fax_number": "480-443-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE B230",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "602-843-1000",
            "fax_number": "480-443-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW E FORMAN ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-843-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott Anderson, M.D.
• Kathleen Anderson
• Stephanie Kay Anderson, PMHNP
• Theodore Anderson
• Tylena Anderson
• Brandon Douglas Andrew, HIS
• Matthew Andrew
• Curtis Andrews, PMHNP
• Ethan Lee Andrews, STUDENT
• Jerry Andrews, LMFT, LISAC

• Orthodontics and Dentofacial Orthopedics Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.