Organization Active NPI

Oasis Dental Services, PLLC

  • Dental Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1770029365
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D009628 Issued in NU
Legal business name
OASIS DENTAL SERVICES, PLLC
Practice address
930 N Switzer Canyon Dr
#200
Flagstaff, AZ 86001-4824
Phone
(928) 774-4030
Fax
(928) 233-6901
NPI assigned
Jan 6, 2017
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Daniel Allen Rodda, D.D.S.
Title
Dentist/Owner
Phone
(928) 774-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D009628 NU Primary

Addresses

Primary practice location

930 N Switzer Canyon Dr
#200
Flagstaff, AZ 86001-4824

Mailing address

930 N Switzer Canyon Dr
#200
Flagstaff, AZ 86001-4824
Phone (928) 774-4030

National Provider Directory

National Provider Directory

Locations

930 N Switzer Canyon Dr
Ste 200
Flagstaff, AZ 86001
Phone (928) 774-4030

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1770029365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N SWITZER CANYON DR",
            "address_2": "#200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014824",
            "telephone_number": "928-774-4030",
            "fax_number": "928-233-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N SWITZER CANYON DR",
            "address_2": "#200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014824",
            "telephone_number": "928-774-4030",
            "fax_number": "928-233-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "RODDA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "928-774-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": "D009628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.