NPIMap

Organization Active NPI

Perfect Dental Group, LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1942459912
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6330 Issued in AZ
Legal business name
PERFECT DENTAL GROUP, LLC
Practice address
9130 W Thomas Rd Ste a-101
Phoenix, AZ 85037-3377
Phone
(623) 877-3636
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Darren Le, D.D.S.NPI 1619035383
Title
Sole Member
Phone
(623) 877-3636

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6330 AZ Primary

Addresses

Primary practice location

9130 W Thomas Rd Ste a-101
Phoenix, AZ 85037-3377

Mailing address

9130 W Thomas Rd Ste a-101
Phoenix, AZ 85037-3377
Phone (623) 877-3636

National Provider Directory

National Provider Directory

Locations

9130 W Thomas Rd
Ste A-101
Phoenix, AZ 85037
Phone (623) 877-3636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1942459912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 W THOMAS RD STE A-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373377",
            "telephone_number": "623-877-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 W THOMAS RD STE A-101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373377",
            "telephone_number": "623-877-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "623-877-3636",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.