Active NPI
NSN Dental, PLLC
- Endodontics
- Avondale, AZ
National Provider Identifier
1821698622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- NSN DENTAL, PLLC
- Practice address
- 10750 W McDowell Rd Ste A250
Avondale, AZ 85392-5979 - Phone
- (623) 907-9400
- Fax
- (623) 907-9405
- NPI assigned
- Oct 29, 2020
- 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
- Nicholas Netzel, DMD
- Title
- President
- Phone
- (623) 910-2767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
10750 W McDowell Rd Ste A250
Avondale, AZ 85392-5979
Mailing address
6243 W Kristal Way
Glendale, AZ 85308-7661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164860755 | Other | ENDODONTIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Avondaleendo@outlook.com |
National Provider Directory
National Provider DirectoryLocations
10750 W McDowell Rd
Ste A250
Avondale, AZ 85392
Phone (623) 907-9400
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": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1821698622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6243 W KRISTAL WAY",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10750 W MCDOWELL RD STE A250",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925979",
"telephone_number": "623-907-9400",
"fax_number": "623-907-9405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSN DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "NETZEL",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-910-2767",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENDODONTIST",
"identifier": "1164860755",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Avondaleendo@outlook.com",
"affiliation": "N",
"address_1": "10750 W McDowell Rd Ste A250",
"city": "Avondale",
"state": "AZ",
"country_code": "US",
"postal_code": "853925979",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 29, 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.