Radiant Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RADIANT DENTAL LLC

Doing business as

Radiant Dental

Practice address

19251 E Oasis Dr
Black Canyon City, AZ 85324-8878

Phone

(623) 526-2607

NPI assigned

Dec 28, 2021

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Liana Armes

Title

Director of Operations

Phone

(818) 577-7367

Specialties & licenses 1

Addresses

Other names 1

• Radiant Dental Doing business as

Locations

Practitioners 1

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.

• Barbara Chen Sutton Fayen, DDS

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1639207525
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1720748049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-526-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 E OASIS DR",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853248878",
            "telephone_number": "623-526-2607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17301 E Spring Valley Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mayer",
            "state": "AZ",
            "postal_code": "863334263",
            "country_code": "US",
            "telephone_number": "928-642-1806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "ARMES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LIANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-577-7367"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elli Klinger
• Kevin Carl Krause
• Matthew Lynn McElroy, PA-C
• Gregg Wesley Potter, PT, MPT
• Preventative Dental Care PLLC (Canyon Dental)
• Andja I Rawlings

• General Practice Dentistry in Black Canyon City, AZ
• Providers in Black Canyon City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.