NPIMap

Organization Active NPI

Alpha Dental Corporation

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1801001490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALPHA DENTAL CORPORATION
Practice address
9201 N 29TH Ave Ste 33
Phoenix, AZ 85051-3470
Phone
(602) 943-3700
Fax
(602) 943-3701
NPI assigned
May 14, 2007
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
Dr. Eugene I. Kim
Title
Owner
Phone
(602) 943-3700

Specialties & licenses 1

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

Addresses

Primary practice location

9201 N 29TH Ave Ste 33
Phoenix, AZ 85051-3470

Mailing address

9201 N 29TH Ave Ste 33
Phoenix, AZ 85051-3470
Phone (602) 943-3700

National Provider Directory

National Provider Directory

Locations

9201 N 29th Ave
Ste 33
Phoenix, AZ 85051
Phone (602) 943-3700

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 N 29TH AVE STE 33",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513470",
            "telephone_number": "602-943-3700",
            "fax_number": "602-943-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 N 29TH AVE STE 33",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513470",
            "telephone_number": "602-943-3700",
            "fax_number": "602-943-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-943-3700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 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.