NPIMap

Organization Active NPI

Compass Point Dental

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1831588169
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4935 Issued in AZ
Legal business name
COMPASS POINT DENTAL
Practice address
5400 W Northern Ave
Suite 202
Glendale, AZ 85301-1406
Phone
(623) 500-5790
NPI assigned
Jan 9, 2015
Organization subpart
Yes
Parent organization
PHOENIX PEDIATRIC DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Luz Pacheco
Title
Human Resource
Phone
(602) 242-5741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4935 AZ Primary

Addresses

Primary practice location

5400 W Northern Ave
Suite 202
Glendale, AZ 85301-1406

Mailing address

6750 N 19TH Ave
Phoenix, AZ 85015-1127
Phone (602) 242-5741

Other identifiers 1

IdentifierTypeStateIssuer
450924MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Compass Point Dental4 organizations share this tax ID, including this one
Part of
Compass Point Dental

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5400 W Northern Ave
Ste 202
Glendale, AZ 85301
Phone (623) 500-5790

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1831588169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151127",
            "telephone_number": "602-242-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W NORTHERN AVE",
            "address_2": "SUITE 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011406",
            "telephone_number": "623-500-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS POINT DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX PEDIATRIC DENTAL",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "HUMAN RESOURCE",
        "authorized_official_telephone_number": "602-242-5741"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450924",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 2, 2015; 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.