Ideal Dental Anthem PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDEAL DENTAL ANTHEM PLLC

Practice address

39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703

Phone

(623) 277-5002

Fax

(623) 887-8930

NPI assigned

Sep 27, 2022

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Alles, DDS

Title

Owner

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Jay Handelman, DDS

  • Dentist
  • Anthem, AZ
  • NPI 1063456606
  NPD
• Sedrak Tovmasyan

  • General Practice Dentistry
  • Anthem, AZ
  • NPI 1366336406
  NPD
• Barry Chan, DMD

  • Dentist
  • Rio Rancho, NM
  • NPI 1063258184
  NPD

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1962126789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39422 N DAISY MOUNTAIN DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866703",
            "telephone_number": "623-277-5002",
            "fax_number": "623-887-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL ANTHEM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savana Howe, PSY.D.
• Jana Hower, FNP
• Mariah D Huber, OTR
• Eryn S Hunter, MSN, FNP-C
• I DRS, Inc. (All About Eyes)
• Idrs Inc (All About Eyes)
• Sam Ile
• Helene M Illston, M.T.
• Infinite Path Solutions LLC
• Integrity Wound Healing Solutions LLC

• Dentist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.