NPIMap

Organization Active NPI

Highbury Dental Management, LLC

  • Pediatric Dentistry
  • Glendale, AZ
National Provider Identifier
1841704764
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
HIGHBURY DENTAL MANAGEMENT, LLC
Practice address
5757 W Thunderbird Rd Ste E451
Glendale, AZ 85306-4645
Phone
(602) 345-7959
NPI assigned
Nov 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Nathaniel Arana
Title
Consultant/Credentialing
Phone
(520) 841-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5757 W Thunderbird Rd Ste E451
Glendale, AZ 85306-4645

Mailing address

5757 W Thunderbird Rd Ste E451
Glendale, AZ 85306-4645

National Provider Directory

National Provider Directory
Tax ID family
Highbury Dental Management LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1841704764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E451",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E451",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064645",
            "telephone_number": "602-345-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHBURY DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "ARANA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CONSULTANT/CREDENTIALING",
        "authorized_official_telephone_number": "520-841-0902"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2017; 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.