NPIMap

Organization Active NPI

Elegant Smiles

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1902103807
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6747 Issued in AZ
Legal business name
ELEGANT SMILES
Practice address
4425 N 24TH St Ste 100
Phoenix, AZ 85016-5513
Phone
(602) 354-5800
Fax
(602) 354-5860
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Mahasin M Hangalay, D.D.S
Title
Dentist/Owner
Phone
(602) 354-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6747 AZ Primary

Addresses

Primary practice location

4425 N 24TH St Ste 100
Phoenix, AZ 85016-5513

Mailing address

4425 N 24TH St Ste 100
Phoenix, AZ 85016-5513
Phone (602) 354-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1902103807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165513",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 N 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165513",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "HANGALAY",
        "authorized_official_first_name": "MAHASIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "602-354-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.