NPIMap

Organization Active NPI

El Mirage Dental Partners LLC

Doing business as Risas Dental and Braces

  • General Practice Dentistry
  • El Mirage, AZ
National Provider Identifier
1831954163
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EL MIRAGE DENTAL PARTNERS LLC
Doing business as
Risas Dental and Braces
Practice address
13053 W Thunderbird Rd
El Mirage, AZ 85335-3261
Phone
(602) 633-0444
NPI assigned
Feb 15, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Whitney Wright, DDS
Title
Officer
Phone
(480) 339-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

13053 W Thunderbird Rd
El Mirage, AZ 85335-3261

Mailing address

3030 N Central Ave Ste 1500
Phoenix, AZ 85012-2750

Other names 1

  • RISAS DENTAL AND BRACES Doing business as

National Provider Directory

National Provider Directory

Locations

13053 W Thunderbird Rd
El Mirage, AZ 85335
Phone (602) 633-0443

Practitioners & affiliated clinicians

Practitioners 6

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1831954163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13053 W THUNDERBIRD RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353261",
            "telephone_number": "602-633-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MIRAGE DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-339-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISAS DENTAL AND BRACES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RISAS DENTAL AND BRACES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.