NPIMap

Organization Active NPI

Az Family Dental PLLC

  • General Practice Dentistry
  • Glendale, AZ
National Provider Identifier
1962763003
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008419 Issued in AZ
Legal business name
AZ FAMILY DENTAL PLLC
Practice address
8519 N 59TH Ave
Glendale, AZ 85302-5401
Phone
(801) 602-3985
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Dr. Matthew Reed Parker, D.M.D.NPI 1336400472
Title
Owner
Phone
(801) 602-3985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D008419 AZ Primary

Addresses

Primary practice location

8519 N 59TH Ave
Glendale, AZ 85302-5401

Mailing address

8519 N 59TH Ave
Glendale, AZ 85302-5401
Phone (801) 602-3985

Other names 1

  • 59th Avenue Dentistry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1962763003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025401",
            "telephone_number": "801-602-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025401",
            "telephone_number": "801-602-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-602-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "59th Avenue Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 5, 2012; 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.