NPIMap

Organization Active NPI

Acacia Endodontics, PLLC

  • Endodontics
  • Chandler, AZ
National Provider Identifier
1881897080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2862 Issued in AZ
Legal business name
ACACIA ENDODONTICS, PLLC
Practice address
1300 N McClintock Dr
Ste B2
Chandler, AZ 85226-7205
Phone
(480) 777-9938
Fax
(480) 491-0132
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lance P Schneider, DDSNPI 1770623415
Title
Doctor
Phone
(480) 777-9938

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
Endodontics 1223E0200X 2862 AZ Primary

Addresses

Primary practice location

1300 N McClintock Dr
Ste B2
Chandler, AZ 85226-7205

Mailing address

1300 N McClintock Dr
Ste B2
Chandler, AZ 85226-7205
Phone (480) 777-9938

National Provider Directory

National Provider Directory

Locations

1300 N McClintock Dr
Ste B2
Chandler, AZ 85226
Phone (480) 777-9938

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881897080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N MCCLINTOCK DR",
            "address_2": "STE B2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267205",
            "telephone_number": "480-777-9938",
            "fax_number": "480-491-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MCCLINTOCK DR",
            "address_2": "STE B2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267205",
            "telephone_number": "480-777-9938",
            "fax_number": "480-491-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-777-9938",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "2862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.