NPIMap

Organization Active NPI

GP Dental PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1710278650
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6008 Issued in AZ
Legal business name
GP DENTAL PC
Practice address
10240 N 31St Ave Ste 100
Phoenix, AZ 85051-9564
Phone
(602) 944-7199
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Golbarg PourkhomamiNPI 1093873945
Title
Dentist
Phone
(602) 944-7199

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D6008 AZ Primary

Addresses

Primary practice location

10240 N 31St Ave Ste 100
Phoenix, AZ 85051-9564

Mailing address

10240 N 31St Ave Ste 100
Phoenix, AZ 85051-9564
Phone (602) 944-7199

National Provider Directory

National Provider Directory

Locations

10240 N 31st Ave
Ste 100
Phoenix, AZ 85051
Phone (602) 944-7199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1710278650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519564",
            "telephone_number": "602-944-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519564",
            "telephone_number": "602-944-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "POURKHOMAMI",
        "authorized_official_first_name": "GOLBARG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-944-7199"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6008",
            "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 Apr 26, 2011; 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.