Organization Active NPI

Minted Dental

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1710447370
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MINTED DENTAL
Practice address
21050 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4262
Phone
(480) 400-1794
Fax
(480) 400-1839
NPI assigned
Mar 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Onika Patel, DMDNPI 1619354313
Title
Owner
Phone
(480) 400-1794

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

21050 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4262

Mailing address

21050 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4262
Phone (480) 400-1794

Other identifiers 1

IdentifierTypeStateIssuer
1619354313OtherAZN/A

National Provider Directory

National Provider Directory

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": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1710447370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 N TATUM BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504262",
            "telephone_number": "480-400-1794",
            "fax_number": "480-400-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21050 N TATUM BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504262",
            "telephone_number": "480-400-1794",
            "fax_number": "480-400-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-400-1794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1619354313",
            "state": "AZ"
        }
    ],
    "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 20, 2019; 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.