Dan Rodda, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAN RODDA, DDS, PLLC

Doing business as

Complete Dental Care

Practice address

15255 N 40TH St Ste 141
Phoenix, AZ 85032-4682

Phone

(928) 525-4642

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Dan Rodda, DDS

Title

Doctor Owner

Phone

(928) 525-4642

Specialties & licenses 1

Addresses

Other names 1

• Complete Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Allen Rodda, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1073892402
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1770208498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 W WULFENITE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860056836",
            "telephone_number": "928-525-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST STE 141",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324682",
            "telephone_number": "928-525-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN RODDA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "RODDA",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "928-525-4642",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andreas Damianos, MD
• Fallon Rayne Damico, PA-C
• Amanda Damon, CPNP
• Ruben A Damous, P.A.
• Troy Lee Damper
• Stephen Dan
• Joshua Danaher
• Kirsten Claire Danan
• Danbury Adult Care Home
• Aida Elizabeth Dancel

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.