Organization Active NPI

Gilbert Valley Dental LLC

  • Pediatric Dentistry
  • Gilbert, AZ
National Provider Identifier
1740821420
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GILBERT VALLEY DENTAL LLC
Practice address
3592 S Atherton Blvd Ste 107
Gilbert, AZ 85297-7444
Phone
(480) 889-1877
NPI assigned
Oct 3, 2019
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

3592 S Atherton Blvd Ste 107
Gilbert, AZ 85297-7444

Mailing address

3592 S Atherton Blvd Ste 107
Gilbert, AZ 85297-7444
Phone (480) 889-1877

National Provider Directory

National Provider Directory

Locations

3592 S Atherton Blvd
Ste 107
Gilbert, AZ 85297
Phone (480) 889-1877

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1740821420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977444",
            "telephone_number": "480-889-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 S ATHERTON BLVD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977444",
            "telephone_number": "480-889-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT VALLEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2019; 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.