NPIMap

Organization Active NPI

Phoenician Dental Group Inc

  • Dentist
  • Glendale, AZ
National Provider Identifier
1952832008
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008519 Issued in AZ
Legal business name
PHOENICIAN DENTAL GROUP INC
Practice address
9160 N 43Rd Ave
Glendale, AZ 85302-3801
Phone
(623) 931-9221
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Pourya Shahnaz, D.M.D.
Title
Owner
Phone
(480) 228-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D008519 AZ Primary

Addresses

Primary practice location

9160 N 43Rd Ave
Glendale, AZ 85302-3801

Mailing address

9233 E Pine Valley Rd
Scottsdale, AZ 85260-2847
Phone (480) 228-0661

Other names 1

  • Associated Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1952832008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 E PINE VALLEY RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602847",
            "telephone_number": "480-228-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023801",
            "telephone_number": "623-931-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "SHAHNAZ",
        "authorized_official_first_name": "POURYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-228-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 21, 2017; 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.