NPIMap

Organization Active NPI

Lasting Smiles of Anthem LLC

  • General Practice Dentistry
  • Anthem, AZ
National Provider Identifier
1851931828
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LASTING SMILES OF ANTHEM LLC
Practice address
3618 W Anthem Way Ste D132
Anthem, AZ 85086-0475
Phone
(623) 551-8000
Fax
(623) 465-4604
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Darren L Flowers, DMD
Title
Owner
Phone
(623) 551-8000

Specialties & licenses 1

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

Addresses

Primary practice location

3618 W Anthem Way Ste D132
Anthem, AZ 85086-0475

Mailing address

3618 W Anthem Way Ste D132
Anthem, AZ 85086-0475
Phone (623) 551-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1851931828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 W ANTHEM WAY STE D132",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860475",
            "telephone_number": "623-551-8000",
            "fax_number": "623-465-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 W ANTHEM WAY STE D132",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860475",
            "telephone_number": "623-551-8000",
            "fax_number": "623-465-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING SMILES OF ANTHEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-551-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.