Organization Active NPI

Smiles of America-Rancho Solano PLLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1801166491
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
F000374 Issued in AZ
Legal business name
SMILES OF AMERICA-RANCHO SOLANO PLLC
Practice address
2401 W Glendale Ave
Suite 102
Phoenix, AZ 85021-7677
Phone
(602) 864-1119
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Henry Vasquez, MBA.
Title
Operations Director
Phone
(602) 864-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X F000374 AZ Primary

Addresses

Primary practice location

2401 W Glendale Ave
Suite 102
Phoenix, AZ 85021-7677

Mailing address

2401 W Glendale Ave
Suite 102
Phoenix, AZ 85021-7677
Phone (602) 864-1119

Other names 1

  • Smiles of America Doing business as

National Provider Directory

National Provider Directory

Locations

2401 W Glendale Ave
Ste 102
Phoenix, AZ 85021
Phone (602) 864-1119

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1801166491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W GLENDALE AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217677",
            "telephone_number": "602-864-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W GLENDALE AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217677",
            "telephone_number": "602-864-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF AMERICA-RANCHO SOLANO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-864-1119",
        "authorized_official_credential": "MBA."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "F000374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of America",
            "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 Jan 12, 2012; 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.