NPIMap

Organization Active NPI

Joseph Mikulicz Dental Services P.C.

  • Dental Clinic/Center
  • Chandler, AZ
National Provider Identifier
1881893584
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4519 Issued in AZ
Legal business name
JOSEPH MIKULICZ DENTAL SERVICES P.C.
Practice address
312 N Alma School Rd
Suite 22
Chandler, AZ 85224-4354
Phone
(480) 821-8295
Fax
(480) 821-8268
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Joseph Robert Mikulicz, D.M.D.NPI 1922015221
Title
Owner
Phone
(480) 821-8295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4519 AZ Primary

Addresses

Primary practice location

312 N Alma School Rd
Suite 22
Chandler, AZ 85224-4354

Mailing address

312 N Alma School Rd
Suite 22
Chandler, AZ 85224-4354
Phone (480) 821-8295

Other names 1

  • Anasazi Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

312 N Alma School Rd
Ste 22
Chandler, AZ 85224
Phone (480) 821-8295

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1881893584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD",
            "address_2": "SUITE 22",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "480-821-8295",
            "fax_number": "480-821-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ALMA SCHOOL RD",
            "address_2": "SUITE 22",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244354",
            "telephone_number": "480-821-8295",
            "fax_number": "480-821-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MIKULICZ DENTAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MIKULICZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-821-8295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anasazi Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.