Organization Active NPI

Avondale Hills Dental

  • General Practice Dentistry
  • Avondale, AZ
National Provider Identifier
1912963125
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4814 Issued in AZ
Legal business name
AVONDALE HILLS DENTAL
Practice address
11335 W Buckeye Rd
101C
Avondale, AZ 85323
Phone
(623) 478-0149
Fax
(623) 907-5259
NPI assigned
Apr 25, 2006
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
Jason Paul Acuff, DDSNPI 1992195101
Title
Owner
Phone
(623) 478-0149

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4814 AZ Primary

Addresses

Primary practice location

11335 W Buckeye Rd
101C
Avondale, AZ 85323

Mailing address

11335 W Buckeye Rd
101C
Avondale, AZ 85323
Phone (623) 478-0149

National Provider Directory

National Provider Directory

Locations

11335 W Buckeye Rd
Ste C101
Avondale, AZ 85323
Phone (623) 478-0149

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912963125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 W BUCKEYE RD",
            "address_2": "101C",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-478-0149",
            "fax_number": "623-907-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 W BUCKEYE RD",
            "address_2": "101C",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "623-478-0149",
            "fax_number": "623-907-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE HILLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACUFF",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-478-0149",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, 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.