Pali, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PALI, LLC

Practice address

6040 N 43Rd Ave
Suite 2
Glendale, AZ 85301-5488

Phone

(623) 937-9241

Fax

(623) 847-4436

NPI assigned

Aug 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charisma Luat, DDS

Title

Dentist

Phone

(623) 937-9241

Specialties & licenses 1

Addresses

Tax ID family

Pali LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pali, LLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1710438676
  NPD tax ID

Locations

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1982038949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE",
            "address_2": "SUITE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015488",
            "telephone_number": "623-937-9241",
            "fax_number": "623-847-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 N 43RD AVE",
            "address_2": "SUITE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015488",
            "telephone_number": "623-937-9241",
            "fax_number": "623-847-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LUAT",
        "authorized_official_first_name": "CHARISMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-937-9241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Palay, LCSW
• Mark Steven Palazzo, DC
• Pauline Paleo, LPN
• Frances Mariel Palermo Alvarado, MD
• Pali, LLC
• Kendra Lee Palmer, M.A. CFY-SLP
• Richard Palmer
• Tristan Palmer
• Aaron Palmieri, D.C.
• Vincent Palmieri

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.