Valley Orthodontic Group/ Peoria P.L.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DO3317 Issued in AZ

Legal business name

VALLEY ORTHODONTIC GROUP/ PEORIA P.L.L.C.

Practice address

25225 N Lake Pleasant Pkwy Ste 1240
Peoria, AZ 85383-1390

Phone

(623) 572-2683

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Daniel J Grob, DDS, MSNPI 1902966898

Title

Owner/Orthodontist

Phone

(480) 490-7848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Daniel J Grob, DDS MS

  • Dentist
  • Peoria, AZ
  • NPI 1902966898

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1932608353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25225 N LAKE PLEASANT PKWY STE 1240",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831390",
            "telephone_number": "623-572-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25225 N LAKE PLEASANT PKWY STE 1240",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831390",
            "telephone_number": "623-572-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORTHODONTIC GROUP/ PEORIA P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "GROB",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "480-490-7848",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "DO3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Integrated Wellness LLC
• Valley Internal Medicine Associates, PLLC
• Valley Kidney Center Inc
• Valley Kidney Institute LLC
• Valley of the Sun Pediatrics, P.C.
• Valley Pain Centers of Arizona, LLC (Valley Pain Centers)
• Valley Rehabilitation Partners LLC
• Valley Rehabilitation, LTD.
• Valor Care Services, LLC
• Sara Beth Van Atta, LMT

• Orthodontics and Dentofacial Orthopedics Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.