Active NPI
Gary Steen, DDS
- Dentist
- Phoenix, AZ
National Provider Identifier
1770734964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1576
- Practice address
- 340 E Palm LN
Suite # 280
Phoenix, AZ 85004-4603 - Phone
- (602) 252-2800
- Fax
- (602) 254-8228
- NPI assigned
- Oct 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1576 | AZ | Primary |
Addresses
Primary practice location
340 E Palm LN
Suite # 280
Phoenix, AZ 85004-4603
Mailing address
340 E Palm LN
Suite # 280
Phoenix, AZ 85004-4603
Phone (602) 252-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centercare Dental Group | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1770734964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E PALM LN",
"address_2": "SUITE # 280",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044603",
"telephone_number": "602-252-2800",
"fax_number": "602-254-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E PALM LN",
"address_2": "SUITE # 280",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044603",
"telephone_number": "602-252-2800",
"fax_number": "602-254-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEEN",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "1576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.