NPIMap

Organization Active NPI

Ranch Dental

  • Dentist
  • Glendale, AZ
National Provider Identifier
1801931266
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4628 Issued in AZ
Legal business name
RANCH DENTAL
Practice address
6740 W Camelback Rd
Glendale, AZ 85303-6307
Phone
(623) 247-5300
Fax
(623) 247-1826
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Vahid Hojreh, DMDNPI 1689879454
Title
Owner
Phone
(623) 247-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4628 AZ Primary

Addresses

Primary practice location

6740 W Camelback Rd
Glendale, AZ 85303-6307

Mailing address

6740 W Camelback Rd
Glendale, AZ 85303-6307
Phone (623) 247-5300

Other names 1

  • Sun Dentures & Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

6740 W Camelback Rd
Glendale, AZ 85303
Phone (623) 247-5300

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1801931266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853036307",
            "telephone_number": "623-247-5300",
            "fax_number": "623-247-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 W CAMELBACK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853036307",
            "telephone_number": "623-247-5300",
            "fax_number": "623-247-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "HOJREH",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-247-5300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Dentures & Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.