Organization Active NPI

North Valley Center for Oral and Implant Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
National Provider Identifier
1710133004
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5583 Issued in AZ
Legal business name
NORTH VALLEY CENTER FOR ORAL AND IMPLANT SURGERY, P.C.
Practice address
4025 W Bell Rd
Suite 9
Phoenix, AZ 85053-2750
Phone
(602) 978-2890
Fax
(602) 978-5794
NPI assigned
Aug 18, 2008
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Donald J Johnson, DMDNPI 1164516753
Title
Oral and Maxillofacial Surgeon
Phone
(602) 978-2890

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5583 AZ Primary

Addresses

Primary practice location

4025 W Bell Rd
Suite 9
Phoenix, AZ 85053-2750

Mailing address

4025 W Bell Rd
Suite 9
Phoenix, AZ 85053-2750
Phone (602) 978-2890

National Provider Directory

National Provider Directory

Locations

4025 W Bell Rd
Ste 9
Phoenix, AZ 85053
Phone (602) 266-4732

Practitioners & affiliated clinicians

Practitioners 3

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1710133004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "SUITE 9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-978-2890",
            "fax_number": "602-978-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "SUITE 9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-978-2890",
            "fax_number": "602-978-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY CENTER FOR ORAL AND IMPLANT SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "602-978-2890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "5583",
            "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 Mar 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.