NPIMap

Organization Active NPI

Arizona Smiles P.C.

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1922335652
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARIZONA SMILES P.C.
Practice address
1400 N Gilbert Rd Ste a
Gilbert, AZ 85234-2321
Phone
(480) 892-5089
Fax
(480) 892-4236
NPI assigned
Nov 17, 2009
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Samuel Bollwinkel, DDSNPI 1306951819
Title
President
Phone
(482) 892-5089

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1400 N Gilbert Rd Ste a
Gilbert, AZ 85234-2321

Mailing address

1400 N Gilbert Rd Ste a
Gilbert, AZ 85234-2321
Phone (480) 892-5089

National Provider Directory

National Provider Directory
Tax ID family
Arizona Smiles PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1922335652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342321",
            "telephone_number": "480-892-5089",
            "fax_number": "480-892-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE A",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342321",
            "telephone_number": "480-892-5089",
            "fax_number": "480-892-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SMILES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BOLLWINKEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "482-892-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.