Thunderbird Dental Trust

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2890 Issued in AZ

Legal business name

THUNDERBIRD DENTAL TRUST

Practice address

13980 N 67TH Ave Ste 2
Glendale, AZ 85306-3715

Phone

(623) 979-9454

Fax

(623) 979-9474

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Gregory M Becker, DDSNPI 1700052263

Title

Trustee

Phone

(623) 979-9454

Specialties & licenses 1

Addresses

Practitioners 2

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

• Gregory M Becker, DDS

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1700052263
  NPD (past) Authorized official
• Aliuska Limias Carbonell, DMD

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1194464123
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770628273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13980 N 67TH AVE STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063715",
            "telephone_number": "623-979-9454",
            "fax_number": "623-979-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD DENTAL TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "623-979-9454",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly K. Thorn, LMFT
• Cynthia Thornton, RN
• Tamis J Thrasher, CPNP
• Thrivewell Health Centers LLC
• Thunderbird Chiropractic, Inc.
• Thunderbird Dentistry
• Thunderbird Endoscopy Center
• Thunderbird Family Medicine LTD
• Thunderbird Internal Medicine, LTD.
• Thunderbird Obstetrics & Gynecology, LTD.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• 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.