Organization Active NPI

Ford Calaway Dentistry & Orthodontics LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1912516535
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORD CALAWAY DENTISTRY & ORTHODONTICS LLC
Practice address
2111 E Highland Ave Ste B
Phoenix, AZ 85016-4741
Phone
(602) 955-7788
NPI assigned
Jul 29, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dana Sexton
Title
General Manager
Phone
(810) 941-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2111 E Highland Ave Ste B
Phoenix, AZ 85016-4741

Mailing address

4146 Neuman Rd
Saint Clair, MI 48079-3234

National Provider Directory

National Provider Directory

Locations

2111 E Highland Ave
Ste B
Phoenix, AZ 85016
Phone (602) 955-7788

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1912516535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 NEUMAN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E HIGHLAND AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164741",
            "telephone_number": "602-955-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD CALAWAY DENTISTRY & ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "810-941-8983"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Jul 29, 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.