PHOENIX ORTHODONTICS LLC (NPI# 1205270386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205270386 |
| Entity Type | Organization |
| Organization Name | PHOENIX ORTHODONTICS LLC |
| Practice Address |
6750 N 19th Ave Phoenix AZ 85015-1127 |
| Practice Telephone | 6022425741 |
| Practice Fax Number | 6022425742 |
| Mailing Telephone | 6022425741 |
| Mailing Fax Number | 6022425742 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Authorized Official Name | BRIAN ALLMENDINGER (OWNER) |
| Authorized Official Telephone | 6022425741 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D5273 | NE | Dental Providers |
| Street Address |
6750 N 19TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639152184 | Neal Jared Nation | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2005-11-29 |
| 1780113944 | Robbie Frank Harrell | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2017-06-09 |
| 1437547775 | Phoenix Pediatric Dental | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2015-01-08 |
| 1154621548 | Therapyworx, LLC | Home Health | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2010-11-01 |
| 1720241052 | Eric Edwin Jacobsen | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2008-07-07 |
| 1659580595 | Francisco H Bezerra | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2007-05-21 |
| 1891875498 | Phoenix Pediatric Dental, LLC | Dentist | 6750 N 19th Ave, Phoenix, AZ 85015-1127 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1538636766 | David Hoffman Phoenix Orthodontics PC | Dentist | 5225 N 19th Ave Ste 8, Phoenix, AZ 85015-2903 | 2018-10-25 |
| 1881169233 | Smile Straight Orthodontics - Greenway LLC | Dentist | 3229 E Greenway Rd Ste 101, Phoenix, AZ 85032-4508 | 2018-10-11 |
| 1336656024 | Andrew Philip Serrano | Dentist | 1515 E Missouri Ave Ste 101, Phoenix, AZ 85014-2443 | 2018-01-04 |
| 1659829299 | The Smyl Co | Dentist | 10 W Adams St, Phoenix, AZ 85003-2025 | 2016-09-12 |
| 1932537131 | Jenny Sun | Dentist | 3425 W Thunderbird Rd, Suite 1, Phoenix, AZ 85053-5670 | 2013-10-24 |
| 1053753228 | North Valley Orthodontics Pllc | Dentist | 21050 N Tatum Blvd Ste D202, Phoenix, AZ 85050-4260 | 2013-07-29 |
| 1679823264 | Hemali Kothari | Dentist | 124 W Thomas Rd Ste 320, Phoenix, AZ 85013-4415 | 2012-09-12 |
| 1861720302 | Mark Kenneth Mcalister | Dentist | 702 East Bell Road, #100, Phoenix, AZ 85022 | 2009-11-20 |
| 1841434461 | Daniel S Blue | Dentist | 224 West San Juan Avenue, Phoenix, AZ 85013 | 2009-04-27 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.