NPIMap

Organization Active NPI

Valley Dental Care PC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1790732824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4384 Issued in AZ
Legal business name
VALLEY DENTAL CARE PC
Practice address
1300 N McClintock Dr
Suite E12
Chandler, AZ 85226-7205
Phone
(480) 897-2483
Fax
(480) 820-1218
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul A Varda, D.M.D.
Title
Owner
Phone
(480) 897-2483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4384 AZ Primary

Addresses

Primary practice location

1300 N McClintock Dr
Suite E12
Chandler, AZ 85226-7205

Mailing address

1300 N McClintock Dr
Suite E12
Chandler, AZ 85226-7205
Phone (480) 897-2483

Other identifiers 2

IdentifierTypeStateIssuer
859936OtherAZUNITED CONCORDIA
AZ0485310OtherAZBLUE CROSS BLUE SHIELD AZ

Other names 1

  • Valley Dental Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790732824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MCCLINTOCK DR",
            "address_2": "SUITE E12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267205",
            "telephone_number": "480-897-2483",
            "fax_number": "480-820-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MCCLINTOCK DR",
            "address_2": "SUITE E12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267205",
            "telephone_number": "480-897-2483",
            "fax_number": "480-820-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-897-2483",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "859936",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0485310",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • 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.