Fountain Family Dental Center, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6458 Issued in AZ

Legal business name

FOUNTAIN FAMILY DENTAL CENTER, PLLC

Doing business as

Fountains Family Dental Center

Practice address

3930 S Alma School Rd Ste 6
Chandler, AZ 85248-4510

Phone

(480) 222-8083

Fax

(480) 222-8084

NPI assigned

May 4, 2010

Last updated

May 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric L Kerbs, DDSNPI 1578613311

Title

Managing Member

Phone

(480) 766-8486

Specialties & licenses 2

Addresses

Other names 1

• Fountains Family Dental Center Doing business as

Locations

Practitioners 1

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.

• Eric Lynn Kerbs, D.D.S.

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1578613311
  Authorized official Same address or phone

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1700103538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-222-8083",
            "fax_number": "480-222-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN FAMILY DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-766-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6458",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountains Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amarai Foster
• Dayovion Foster
• Emily Catherine Foster, LPC, NCC, MA
• Lauren Ashley Foster
• Foundational Physical Therapy LLC (Chandler Physical Therapy)
• Fountains Dental Care LLC
• Fountains Family Care, P.C.
• Four Pathways Mental Health
• Four Peaks Anesthesia Consultants, LLC
• Four Peaks Physical Therapy PC

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.