Active NPI
North Valley Center for Oral and Implant Surgery, P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
National Provider Identifier
1710133004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 5583
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald J Johnson, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1164516753
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1205894490
-
- Dental Assistant
- Phoenix, AZ
- NPI 1841650488
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
- North Seventh Street Dental LLC (Central Valley Cosmetic Dentistry and Implants)
- North Star Pediatric Therapy
- North Valley Anesthesia Consultants, LTD
- North Valley Assisted Living L.L.C
- North Valley Center for Oral and Implant Surgery
- North Valley Chiropractic Center PC
- North Valley Ear, Nose & Throat Associates, P.C
- North Valley Endodontics, P.a. (Valley Endodontic Specialty Group)
- North Valley Endoscopy Center LLC
- North Valley Eye Care PC
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.