Organization Active NPI

Palm Dental PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1700111580
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5484 Issued in AZ
Legal business name
PALM DENTAL PLLC
Practice address
2030 W Baseline Rd
Suite 176
Phoenix, AZ 85041-6574
Phone
(602) 759-5861
Fax
(623) 742-9580
NPI assigned
Oct 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Authorized official

Name
Dr. David Marcus Chei, DMD
Title
Managing Member
Phone
(602) 759-5861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5484 AZ Primary

Addresses

Primary practice location

2030 W Baseline Rd
Suite 176
Phoenix, AZ 85041-6574

Mailing address

2030 W Baseline Rd
Suite 176
Phoenix, AZ 85041-6574
Phone (602) 759-5861

National Provider Directory

National Provider Directory

Locations

2030 W Baseline Rd
Ste 176
Phoenix, AZ 85041
Phone (602) 507-6580

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1700111580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD",
            "address_2": "SUITE 176",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "602-759-5861",
            "fax_number": "623-742-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD",
            "address_2": "SUITE 176",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "602-759-5861",
            "fax_number": "623-742-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "CHEI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-759-5861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5484",
            "primary": true
        }
    ],
    "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 Oct 12, 2009; 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.