Organization Active NPI

A to Z Dental

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1942489372
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6192 Issued in AZ
Legal business name
A TO Z DENTAL
Practice address
6749 W Bethany Home Rd Ste 102
Glendale, AZ 85303-4443
Phone
(623) 849-1356
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Roy Song
Title
Dentist
Phone
(623) 849-1356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D6192 AZ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D6294 AZ

Addresses

Primary practice location

6749 W Bethany Home Rd Ste 102
Glendale, AZ 85303-4443

Mailing address

6749 W Bethany Home Rd Ste 102
Glendale, AZ 85303-4443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1942489372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 W BETHANY HOME RD STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 W BETHANY HOME RD STE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034443",
            "telephone_number": "623-849-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-849-1356",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6192",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.