Agave Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

F000375 Issued in AZ

Legal business name

AGAVE DENTAL LLC

Practice address

4235 N 32ND St
Suite C
Phoenix, AZ 85018-4766

Phone

(602) 957-2411

NPI assigned

Jan 13, 2015

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Dewitt

Title

Office Administrator

Phone

(602) 914-4274

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Beth Hamann, D.D.S.

  • Dentist
  • Phoenix, AZ
  • NPI 1609875020

  General Practice

  NPD (past)
• Elizaveta Hamann, DMD

  • Dentist
  • Phoenix, AZ
  • NPI 1215310461

  General Practice

  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1851780852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850821025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 N 32ND ST",
            "address_2": "SUITE C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184766",
            "telephone_number": "602-957-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "602-914-4274"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "F000375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimit Kumar Agarwal, MD
• Rajeev Agarwal, MD
• Shalini Rajeev Agarwal, M.D.
• Agave Chiropractic LLC
• Agave Chiropractic, LLC
• Agave Foot Specialists, PLLC
• Agave Healthcare LLC (Agave Hospice and Palliative Care)
• Agave Physician Services LLC
• Agave Postpartum Wellness Clinic PLLC
• Agave Surgery Center

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.