Organization Active NPI

HMS Dental PLLC

  • Preferred Provider Organization
  • Queen Creek, AZ
National Provider Identifier
1952741530
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6177 Issued in AZ
Legal business name
HMS DENTAL PLLC
Practice address
22717 S Ellsworth Rd Ste B102
Queen Creek, AZ 85142-7575
Phone
(480) 888-9596
Fax
(480) 882-1042
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Hai Q Trang, DDS
Title
Dentist
Phone
(480) 888-9596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 6177 AZ Primary

Addresses

Primary practice location

22717 S Ellsworth Rd Ste B102
Queen Creek, AZ 85142-7575

Mailing address

22717 S Ellsworth Rd Ste B102
Queen Creek, AZ 85142-7575
Phone (480) 888-9596

Other identifiers 1

IdentifierTypeStateIssuer
955156OtherAZAHCCCS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1952741530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22717 S ELLSWORTH RD STE B102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427575",
            "telephone_number": "480-888-9596",
            "fax_number": "480-882-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22717 S ELLSWORTH RD STE B102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427575",
            "telephone_number": "480-888-9596",
            "fax_number": "480-882-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-888-9596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "6177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "955156",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.