Organization Active NPI

Palm Valley Family Dentistry Inc

  • General Practice Dentistry
  • Avondale, AZ
National Provider Identifier
1740242635
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4383 Issued in AZ
Legal business name
PALM VALLEY FAMILY DENTISTRY INC
Practice address
10320 W McDowell Rd
Suite 3010
Avondale, AZ 85323-4863
Phone
(623) 535-4194
Fax
(623) 535-1596
NPI assigned
Apr 5, 2006
Last updated
Jul 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Authorized official

Name
Michael L Jones, D.D.S.NPI 1619159829
Title
President/Dentist
Phone
(623) 535-4194

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
General Practice Dentistry 1223G0001X 4383 AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
Suite 3010
Avondale, AZ 85323-4863

Mailing address

10320 W McDowell Rd
Suite 3010
Avondale, AZ 85323-4863
Phone (623) 535-4194

National Provider Directory

National Provider Directory

Locations

10320 W McDowell Rd
Ste 3010
Avondale, AZ 85392
Phone (623) 535-4194

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688860800000",
    "number": "1740242635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "SUITE 3010",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234863",
            "telephone_number": "623-535-4194",
            "fax_number": "623-535-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "SUITE 3010",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234863",
            "telephone_number": "623-535-4194",
            "fax_number": "623-535-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "623-535-4194",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.