Promenade Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROMENADE DENTAL PLLC

Practice address

4905 S Alma School Rd Ste 1
Chandler, AZ 85248-5503

Phone

(480) 802-8188

NPI assigned

Feb 13, 2010

Organization subpart

Yes

Parent organization

NEWPORT DENTAL LLCAs reported in NPPES

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

Authorized official

Name

James Michael Wei, D.D.S.NPI 1609083096

Title

Member

Phone

(480) 802-8188

Specialties & licenses 1

Addresses

Part of

Newport Dental LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Newport Dental LLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1497977144
  NPPES parent name

Practitioners 1

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

• James M Wei, D.D.S.

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609083096
  NPD (past) Authorized official

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

{
    "created_epoch": "1266019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266019200000",
    "number": "1922330141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485503",
            "telephone_number": "480-802-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485503",
            "telephone_number": "480-802-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMENADE DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWPORT DENTAL LLC",
        "enumeration_date": "2010-02-13",
        "last_updated": "2010-02-13",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-802-8188",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Proctor
• Nathan K Proft, DPT
• Progressive Dentistry & Orthodontics
• Progressive Dentistry & Orthodontics LLC
• Grant Stephen Proia
• Promise Medical Inc
• Adrienne Anissa Pronk, CSA
• Hannah Prost
• Prostate Cancer Institute of America LLC
• Proverbs in Arizona LLC

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2010; 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.