NPIMap

Organization Active NPI

Perfect Teeth - Elliot and McClintock P.C.

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1801917513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6097 Issued in CO
Legal business name
PERFECT TEETH - ELLIOT AND MCCLINTOCK P.C.
Practice address
7650 S McClintock Dr
#110
Tempe, AZ 85284-1672
Phone
(480) 838-6444
Fax
(480) 838-3142
NPI assigned
Apr 2, 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
Laurie Summers
Title
Credentialing
Phone
(303) 285-6098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6097 CO Primary

Addresses

Primary practice location

7650 S McClintock Dr
#110
Tempe, AZ 85284-1672

Mailing address

7650 S McClintock Dr
#110
Tempe, AZ 85284-1672
Phone (480) 838-6444

Other names 1

  • Perfect Teeth - Elliot and McClintock P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

7650 S McClintock Dr
Ste 110
Tempe, AZ 85284
Phone (480) 838-6444

Practitioners & affiliated clinicians

Practitioners 2

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801917513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 S MCCLINTOCK DR",
            "address_2": "#110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841672",
            "telephone_number": "480-838-6444",
            "fax_number": "480-838-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 S MCCLINTOCK DR",
            "address_2": "#110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841672",
            "telephone_number": "480-838-6444",
            "fax_number": "480-838-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH - ELLIOT AND MCCLINTOCK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "303-285-6098"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth - Elliot and McClintock P.C.",
            "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 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.