Continental Dental Care 19TH Ave LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0213 Issued in AZ

Legal business name

CONTINENTAL DENTAL CARE 19TH AVE LLC

Doing business as

Continental Dental Care

Practice address

5501 N 19TH Ave
Suite 103
Phoenix, AZ 85015-2450

Phone

(602) 246-1119

Fax

(602) 249-5080

NPI assigned

Jun 1, 2007

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry A Vasquez, RDA

Title

Member

Phone

(623) 326-8426

Specialties & licenses 1

Addresses

Other names 1

• Continental Dental Care Doing business as

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1942402094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-246-1119",
            "fax_number": "602-249-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-246-1119",
            "fax_number": "602-249-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINENTAL DENTAL CARE 19TH AVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-326-8426",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "0213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continental Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conte Sport Performance Therapy LLC
• Margaret Anne Contes, M.S. CCC-SLP
• Megan Conti Mica
• Jennifer Christine Conti, P.T.
• Louis Conti, D.D.S.
• Continental Dental Care 19TH Avenue
• Continental Dental Care LLC (Continental Dental Care)
• Continuum Care Providers of Arizona, LLC
• Continuum Group West LLC (Continuum Advanced Healthcare)
• Continuum Group West LLC (Continuum Advanced Healthcare)

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.