Organization Active NPI

Dr. Greg Ceyhan DDS, PLLC

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1720107600
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5333 Issued in AZ
Legal business name
DR. GREG CEYHAN DDS, PLLC
Practice address
17100 N 67TH Ave.
Suite 500
Glendale, AZ 85308
Phone
(623) 979-1515
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Greg Ceyhan, DDSNPI 1053534321
Title
Managing Member
Phone
(623) 979-1515

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 5333 AZ Primary

Addresses

Primary practice location

17100 N 67TH Ave.
Suite 500
Glendale, AZ 85308

Mailing address

17100 N 67TH Ave Ste 500
Glendale, AZ 85308-3699
Phone (623) 979-1515

Other names 1

  • Aesthetic Dentistry of Arrowhead Other name

National Provider Directory

National Provider Directory

Locations

17100 N 67th Ave
Ste 500
Glendale, AZ 85308
Phone (623) 979-1515

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1720107600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083699",
            "telephone_number": "623-979-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE.",
            "address_2": "SUITE 500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-979-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREG CEYHAN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "CEYHAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-979-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dentistry of Arrowhead",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.