Healthy Teeth Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6397 Issued in AZ

Legal business name

HEALTHY TEETH FAMILY DENTISTRY

Practice address

10630 N 59TH Ave
Suite#101
Glendale, AZ 85304-1239

Phone

(623) 878-0117

Fax

(623) 878-6396

NPI assigned

Sep 20, 2011

Organization subpart

Yes

Parent organization

PEORIA CAMELBACKLLCAs reported in NPPES

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

Authorized official

Name

Dr. Harjot Kaur Brar, DDS

Title

Owner

Phone

(623) 878-0117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Part of

Healthy Teeth Family Dentistry

Locations

Practitioners 1

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

• Harjot Kaur Bains, D.D.S.

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1720192578
  Medicare reassignment NPD

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1972886646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 N 59TH AVE",
            "address_2": "SUITE#101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041239",
            "telephone_number": "623-878-0117",
            "fax_number": "623-878-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 N 59TH AVE",
            "address_2": "SUITE#101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041239",
            "telephone_number": "623-878-0117",
            "fax_number": "623-878-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY TEETH FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEORIA CAMELBACKLLC",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "HARJOT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-878-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Partners Plus LLC
• Healthfinity, PLLC
• Healthsource of Central Glendale, P.C.
• Healthy Family Chiropractic, Inc.
• Healthy Looks for Women LLC
• Healthyu Glendale Olive
• Savannah Healy
• Diana Denise Heard, MD
• Hearing Central
• Hearn House 2 LLC

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.