Active NPI
Okun Family Dental LLC
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1801557772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- OKUN FAMILY DENTAL LLC
- Doing business as
- Okun Dentistry
- Practice address
- 1050 E Southern Ave Ste B1
Tempe, AZ 85282-5410 - Phone
- (480) 967-8763
- NPI assigned
- Jan 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faith Gaskins
- Title
- Director of Credentialing
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1050 E Southern Ave Ste B1
Tempe, AZ 85282-5410
Mailing address
1050 E Southern Ave Ste B1
Tempe, AZ 85282-5410
Phone (480) 967-8763
Other names 1
- Okun Dentistry
National Provider Directory
National Provider DirectoryLocations
1050 E Southern Ave
Ste B1
Tempe, AZ 85282
Phone (480) 967-8763
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641254400000",
"number": "1801557772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 E SOUTHERN AVE STE B1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825410",
"telephone_number": "480-967-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTHERN AVE STE B1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825410",
"telephone_number": "480-967-8763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKUN FAMILY DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Okun Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.