Organization Active NPI

Chandler Dentistry LLC

  • Dental Clinic/Center
  • Chandler, AZ
National Provider Identifier
1700477320
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHANDLER DENTISTRY LLC
Practice address
4949 S Arizona Ave Ste 2
Chandler, AZ 85248-2714
Phone
(480) 687-5656
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Tera Niedens
Title
Accountant
Phone
(623) 289-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4949 S Arizona Ave Ste 2
Chandler, AZ 85248-2714

Mailing address

34225 N 27TH Dr Ste 241
Phoenix, AZ 85085-6091
Phone (623) 289-2616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chandler Direct

National Provider Directory

National Provider Directory

Locations

4949 S Arizona Ave
Ste 2
Chandler, AZ 85248
Phone (480) 678-5656

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1700477320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DR STE 241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-289-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S ARIZONA AVE STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482714",
            "telephone_number": "480-687-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "NIEDENS",
        "authorized_official_first_name": "TERA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "623-289-2616"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chandler",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4949 S Arizona Ave Ste 2",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852482714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.