Active NPI
Valley Dental Anesthesia LLC
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1992154041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- VALLEY DENTAL ANESTHESIA LLC
- Practice address
- 4441 E McDowell Rd
Suite 101
Phoenix, AZ 85008-4503 - Phone
- (602) 273-6770
- NPI assigned
- Jun 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saman Farnoush, MD
- Title
- President
- Phone
- (602) 273-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4441 E McDowell Rd
Suite 101
Phoenix, AZ 85008-4503
Mailing address
PO Box 29211
Phoenix, AZ 85038-9211
Phone (602) 273-6770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465430400000",
"number": "1992154041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29211",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850389211",
"telephone_number": "602-273-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E MCDOWELL RD",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084503",
"telephone_number": "602-273-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY DENTAL ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A",
"authorized_official_last_name": "FARNOUSH",
"authorized_official_first_name": "SAMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-273-6770",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.