NPIMap

Organization Active NPI

Arizona Smiile Center PLLC

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1982215182
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARIZONA SMIILE CENTER PLLC
Practice address
2540 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0301
Phone
(480) 892-5089
Fax
(480) 237-9681
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Dr. Samuel Bollwinkel, DDSNPI 1306951819
Title
Owner
Phone
(480) 892-5089

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

2540 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0301

Mailing address

2540 S San Tan Village Pkwy Ste 104
Gilbert, AZ 85295-0301
Phone (480) 892-5089

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1982215182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 S SAN TAN VILLAGE PKWY STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950301",
            "telephone_number": "480-892-5089",
            "fax_number": "480-237-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 S SAN TAN VILLAGE PKWY STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950301",
            "telephone_number": "480-892-5089",
            "fax_number": "480-237-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SMIILE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BOLLWINKEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-892-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.