Active NPI
Rancho Santa Fe Dental Group
- General Practice Dentistry
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6970
- 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, 2011
- 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
- My-Anh T Tran, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Avondale, AZ
- NPI 1366518474
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.