Organization Active NPI

Rancho Santa Fe Dental Group

  • General Practice Dentistry
  • Avondale, AZ
National Provider Identifier
1821305798
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6970 Issued in AZ
Legal business name
RANCHO SANTA FE DENTAL GROUP
Practice address
13048 W Rancho Santa Fe Blvd
114
Avondale, AZ 85392-1705
Phone
(623) 536-3377
Fax
(623) 536-3088
NPI assigned
Sep 13, 2010
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
My-Anh T Tran, DMDNPI 1366518474
Title
Owner
Phone
(623) 536-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6970 AZ Primary

Addresses

Primary practice location

13048 W Rancho Santa Fe Blvd
114
Avondale, AZ 85392-1705

Mailing address

13048 W Rancho Santa Fe Blvd
114
Avondale, AZ 85392-1705
Phone (623) 536-3377

National Provider Directory

National Provider Directory

Locations

13048 W Rancho Santa Fe Blvd
Ste 114
Avondale, AZ 85392
Phone (623) 476-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1821305798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 W RANCHO SANTA FE BLVD",
            "address_2": "114",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921705",
            "telephone_number": "623-536-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 W RANCHO SANTA FE BLVD",
            "address_2": "114",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921705",
            "telephone_number": "623-536-3377",
            "fax_number": "623-536-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO SANTA FE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MY-ANH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-536-3377",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.