NPIMap

Organization Active NPI

Alpha Canyon Endodontics, PC

  • Endodontics
  • Gilbert, AZ
National Provider Identifier
1740313394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4917 Issued in AZ
Legal business name
ALPHA CANYON ENDODONTICS, PC
Practice address
875 N Greenfield Rd
Suite 111
Gilbert, AZ 85234-5044
Phone
(480) 558-1988
Fax
(480) 558-9188
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hung Quoc Nguyen, DDSNPI 1871512129
Title
Endodontist
Phone
(480) 558-1988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 4917 AZ Primary

Addresses

Primary practice location

875 N Greenfield Rd
Suite 111
Gilbert, AZ 85234-5044

Mailing address

875 N Greenfield Rd
Suite 111
Gilbert, AZ 85234-5044
Phone (480) 558-1988

Other names 1

  • Advanced Canyon Endodontics, PC Former legal business name

National Provider Directory

National Provider Directory

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740313394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD",
            "address_2": "SUITE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-558-1988",
            "fax_number": "480-558-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD",
            "address_2": "SUITE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-558-1988",
            "fax_number": "480-558-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CANYON ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "480-558-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Canyon Endodontics, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.