Organization Active NPI

Acacia Endodontics at Ahwatukee

  • Endodontics
  • Phoenix, AZ
National Provider Identifier
1720423908
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ACACIA ENDODONTICS AT AHWATUKEE
Practice address
15215 S 48TH St Ste 136
Phoenix, AZ 85044-9138
Phone
(480) 704-8550
Fax
(480) 704-0199
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Christina Ariel
Title
Practice Manager
Phone
(480) 777-9938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X AZ Primary

Addresses

Primary practice location

15215 S 48TH St Ste 136
Phoenix, AZ 85044-9138

Mailing address

15215 S 48TH St Ste 136
Phoenix, AZ 85044-9138
Phone (480) 704-8550

National Provider Directory

National Provider Directory

Locations

15215 S 48th St
Ste 136
Phoenix, AZ 85044
Phone (480) 704-8550

Practitioners & affiliated clinicians

Practitioners 2

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": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1720423908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449138",
            "telephone_number": "480-704-8550",
            "fax_number": "480-704-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449138",
            "telephone_number": "480-704-8550",
            "fax_number": "480-704-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA ENDODONTICS AT AHWATUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ARIEL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-777-9938"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": null,
            "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 May 1, 2013; 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.