Oak Valley Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6177 Issued in AZ

Legal business name

OAK VALLEY FAMILY DENTISTRY

Practice address

22717 S Ellsworth Rd # B-102
Queen Creek, AZ 85242-6119

Phone

(480) 888-8053

Fax

(480) 882-1042

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hai Q Trang, D.D.S.

Title

Owner Dentist

Phone

(480) 888-8053

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952522443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22717 S ELLSWORTH RD # B-102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426119",
            "telephone_number": "480-888-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 S ELLSWORTH RD # B-102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852426119",
            "telephone_number": "480-888-8053",
            "fax_number": "480-882-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK VALLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER  DENTIST",
        "authorized_official_telephone_number": "480-888-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Queen Creek, AZ
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• 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.