Organization Active NPI

Dental and Braces Camelback 2

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1790527331
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL AND BRACES CAMELBACK 2
Doing business as
Somos Dental & Orthodontics
Practice address
6750 W Camelback Rd Ste 103
Glendale, AZ 85303-6326
Phone
(602) 887-4750
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Liz Ramos
Title
Manager
Phone
(602) 726-3221

Specialties & licenses 1

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

Addresses

Primary practice location

6750 W Camelback Rd Ste 103
Glendale, AZ 85303-6326

Mailing address

1515 N Gilbert Rd # 107-131
Gilbert, AZ 85234-2318
Phone (602) 726-3221

Other names 1

  • Somos Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

6750 W Camelback Rd
Ste 103
Glendale, AZ 85303
Phone (602) 887-4750

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1790527331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N GILBERT RD # 107-131",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342318",
            "telephone_number": "602-726-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W CAMELBACK RD STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853036326",
            "telephone_number": "602-887-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AND BRACES CAMELBACK 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-726-3221"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somos Dental & Orthodontics",
            "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 Jun 12, 2024; 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.