NPIMap

Organization Active NPI

Navajo Health Foundation

Doing business as Sage Dental Clinic

  • Dental Clinic/Center
  • Ganado, AZ
National Provider Identifier
1801013487
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
RGH3899 Issued in AZ
Legal business name
NAVAJO HEALTH FOUNDATION
Doing business as
Sage Dental Clinic
Practice address
US 191 & Az 264
Ganado, AZ 86505-0457
Phone
(928) 755-4500
Fax
(928) 755-4934
NPI assigned
Apr 18, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAJO HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Andrea C Curley
Title
Medial Staff Credentialist
Phone
(928) 755-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X RGH3899 AZ Primary

Addresses

Primary practice location

US 191 & Az 264
Ganado, AZ 86505-0457

Mailing address

PO Box 457
Ganado, AZ 86505-0457
Phone (928) 755-4500

Other identifiers 1

IdentifierTypeStateIssuer
472198MedicaidAZ

Other names 1

  • Sage Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Navajo Health Foundation-Sage Memorial Hospital Inc7 organizations share this tax ID, including this one
Part of
Navajo Health Foundation-Sage Memorial Hospital Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1801013487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US 191 & AZ 264",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500",
            "fax_number": "928-755-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJO HEALTH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAJO HEALTH FOUNDATION",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CURLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDIAL STAFF CREDENTIALIST",
        "authorized_official_telephone_number": "928-755-4500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "RGH3899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472198",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ganado, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.