NPIMap

Organization Active NPI

Specialists Dental Implant Center

  • Periodontics
  • Chandler, AZ
National Provider Identifier
1922101567
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4475 Issued in AZ
Legal business name
SPECIALISTS DENTAL IMPLANT CENTER
Practice address
2905 W Warner Rd
Suite 15
Chandler, AZ 85224
Phone
(480) 831-8100
Fax
(480) 831-6054
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Lewis Paul Robinson, DMD MSNPI 1588983662
Title
Dentist Periodontist Owner Partner
Phone
(480) 831-8100

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 4475 AZ Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 5099 AZ
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 1733 AZ

Addresses

Primary practice location

2905 W Warner Rd
Suite 15
Chandler, AZ 85224

Mailing address

2905 W Warner Rd
Suite 15
Chandler, AZ 85224
Phone (480) 831-8100

National Provider Directory

National Provider Directory

Locations

2905 W Warner Rd
Ste 15
Chandler, AZ 85224
Phone (480) 386-0019

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922101567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "SUITE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-831-8100",
            "fax_number": "480-831-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD",
            "address_2": "SUITE 15",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-831-8100",
            "fax_number": "480-831-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST PERIODONTIST OWNER PARTNER",
        "authorized_official_telephone_number": "480-831-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "4475",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "5099",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "1733",
            "primary": false
        }
    ],
    "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 Apr 20, 2008; 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.