NPIMap

Organization Active NPI

Associated Dental Care Providers

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1962538579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASSOCIATED DENTAL CARE PROVIDERS
Practice address
5620 W Thunderbird Rd Ste G1
Glendale, AZ 85306-4652
Phone
(602) 522-2835
Fax
(602) 588-2936
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura Cleveland
Title
Systems Coordinator
Phone
(520) 290-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5620 W Thunderbird Rd Ste G1
Glendale, AZ 85306-4652

Mailing address

5620 W Thunderbird Rd Ste G1
Glendale, AZ 85306-4652
Phone (602) 522-2835

National Provider Directory

National Provider Directory
Tax ID family
Associated Dental Care Providers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5620 W Thunderbird Rd
Ste G1
Glendale, AZ 85306
Phone (602) 522-2835

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962538579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE G1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064652",
            "telephone_number": "602-522-2835",
            "fax_number": "602-588-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W THUNDERBIRD RD STE G1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064652",
            "telephone_number": "602-522-2835",
            "fax_number": "602-588-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SYSTEMS COORDINATOR",
        "authorized_official_telephone_number": "520-290-9702"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 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.