Greenway Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREENWAY DENTISTRY, LLC

Doing business as

Reel Dental - Greenway

Practice address

16630 W Greenway Rd
A319
Surprise, AZ 85388-2185

Phone

(623) 556-4949

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Fawne Pryor

Title

Ar, Billing and Insurance Manager

Phone

(602) 944-0073

Specialties & licenses 1

Addresses

Other names 1

• Reel Dental - Greenway Doing business as

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942413836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W MESCAL ST",
            "address_2": "STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294764",
            "telephone_number": "602-944-0073",
            "fax_number": "602-944-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 W GREENWAY RD",
            "address_2": "A319",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853882185",
            "telephone_number": "623-556-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "FAWNE",
        "authorized_official_title_or_position": "AR, BILLING AND INSURANCE MANAGER",
        "authorized_official_telephone_number": "602-944-0073"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reel Dental - Greenway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Green
• Shawna A. Green, LAMFT
• Tiffany M Green, LPC
• Daniel Michael Greenblatt, AU.D.
• Tina Greene, LIAC
• Greenway303 Chiropractic P.C. (Greenway303 Chiropractic)
• Kristin Greenwood
• Amanda Gregory
• Andrew Greibrok, PHARM.D.
• Janice L Grenfell, SLPA

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.