A T Still University of Health Sciences

Primary specialty

DentistTaxonomy code 122300000X

License

D05156 Issued in AZ

Legal business name

A T STILL UNIVERSITY OF HEALTH SCIENCES

Doing business as

Arizona School of Dentistry & Oral Health

Practice address

20325 N 51St Ave
Unit 156
Glendale, AZ 85308-5674

Phone

(623) 251-4700

NPI assigned

Jul 2, 2013

Last updated

Oct 17, 2013By 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

Colleen Reidhead

Title

Director

Phone

(480) 219-6183

Specialties & licenses 1

Addresses

Other names 1

• ARIZONA SCHOOL OF DENTISTRY & ORAL HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• A T Still University of Health Sciences

  dba The Center for Advanced Oral Health

  • Dentist
  • Mesa, AZ
  • NPI 1285845776

  O20130520000705

  Same enrollment
• A T Still University of Health Sciences

  dba The AFA Balance & Hearing Institute

  • Audiologist
  • Mesa, AZ
  • NPI 1346586468

  O20130520000705

  Same enrollment

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1730529942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "address_2": "UNIT 156",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-251-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A T STILL UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "REIDHEAD",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-219-6183"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D05156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARIZONA SCHOOL OF DENTISTRY & ORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A New Day Arizona 2 LLC (A New Day Arizona 2)
• A New Day Community Health Center Inc
• A New Day Vocational Program
• A New Leaf
• A New Leaf, Inc.
• A to Z Dental
• A to Z Therapies
• A.S.I Trans LLC
• A&a Family Dentistry
• Aaa Med Trans LLC

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.