NPIMap

Organization Active NPI

Peoria Dental1 LLC

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1780237925
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEORIA DENTAL1 LLC
Practice address
8285 W Union Hills Dr Ste 103
Glendale, AZ 85308-0511
Phone
(623) 362-8200
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dona Kauble
Title
Office Manager
Phone
(623) 362-8200

Specialties & licenses 1

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

Addresses

Primary practice location

8285 W Union Hills Dr Ste 103
Glendale, AZ 85308-0511

Mailing address

8285 W Union Hills Dr Ste 103
Glendale, AZ 85308-0511

Other names 1

  • C R Smiles Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliannag@crsmilesdentalcenter.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1780237925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W UNION HILLS DR STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W UNION HILLS DR STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080511",
            "telephone_number": "623-362-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA DENTAL1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "KAUBLE",
        "authorized_official_first_name": "DONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-362-8200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliannag@crsmilesdentalcenter.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "8285 W Union Hills Dr Ste 103",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853080511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "C R Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.