Active NPI
Novelly Family Dentistry & Orthodontics LLC
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1912565177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NOVELLY FAMILY DENTISTRY & ORTHODONTICS LLC
- Practice address
- 2171 E Pecos Rd Ste 1
Chandler, AZ 85225-6139 - Phone
- (480) 892-6868
- NPI assigned
- Jun 3, 2019
- Last updated
- Dec 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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
- (480) 892-6868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
2171 E Pecos Rd Ste 1
Chandler, AZ 85225-6139
Mailing address
4146 Neuman Rd
Saint Clair, MI 48079-3234
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1033777198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1912565177",
"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": "2171 E PECOS RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852256139",
"telephone_number": "480-892-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVELLY FAMILY DENTISTRY & ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-03",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "SEXTON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "480-892-6868"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"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 Dec 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.