Active NPI
Dang Dentistry, PLLC
- Dental Clinic/Center
- Phoenix, AZ
National Provider Identifier
1790334472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DANG DENTISTRY, PLLC
- Practice address
- 1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369 - Phone
- (602) 993-3744
- Fax
- (602) 993-3744
- NPI assigned
- Sep 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Danelle Gossard
- Title
- Office Manager
- Phone
- (602) 993-3744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369
Mailing address
1930 W Thunderbird Rd Ste 116
Phoenix, AZ 85023-6369
Phone (602) 993-3744
Other names 1
- Moon Valley Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567641600000",
"number": "1790334472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 W THUNDERBIRD RD STE 116",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850236369",
"telephone_number": "602-993-3744",
"fax_number": "602-993-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W THUNDERBIRD RD STE 116",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850236369",
"telephone_number": "602-993-3744",
"fax_number": "602-993-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANG DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A",
"authorized_official_last_name": "GOSSARD",
"authorized_official_first_name": "DANELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "602-993-3744",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moon Valley Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 5, 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.