SOCIETY OF ST. VINCENT DE PAUL (NPI# 1275687790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275687790 |
| Entity Type | Organization |
| Organization Name | SOCIETY OF ST. VINCENT DE PAUL |
| Practice Address |
420 W Watkins Rd Phoenix AZ 85003-2830 |
| Practice Telephone | 6022616874 |
| Practice Fax Number | 6022616816 |
| Mailing Telephone | 6022616874 |
| Mailing Fax Number | 6022616816 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FLOYD KENNETH SNYDER (DENTAL CLINIC DIRECTOR) |
| Authorized Official Telephone | 6022616825 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | AZ2056 | AZ | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOCIETY OF ST VINCENT DE PAUL | 100 N Jefferson Ave, Saint Louis, MO 63103-2207 |
| Oregon Corporations, Companies and Business Names | SOCIETY OF ST VINCENT DE PAUL, HOLY REDEEMER CONFERENCE | 56139 Marsh Hawk Rd, Bend, OR 97707 |
| System for Award Management (SAM) Entities | SOCIETY OF ST VINCENT DE PAUL, THE | 1 Haven for Hope Way, San Antonio, TX 78207-1266 |
| Massachusetts Corporations | SOCIETY OF ST. VINCENT DE PAUL - ASSUMPTION PARISH, EAST BO* | 404 Sumner St., E. Boston, MA 02128 |
| Ohio Business Entities | SOCIETY OF ST. VINCENT DE PAUL - ST. MARY MOTHER OF THE REDEEMER CONFERENCE NORWALK, OHIO | 925 Euclid Ave #2020, Cleveland, OH 44115 |
| System for Award Management (SAM) Entities | SOCIETY OF ST. VINCENT DE PAUL COUNCIL OF WILMINGTON | 1414 N King St, Wilmington, DE 19801-3122 |
| Oregon Corporations, Companies and Business Names | SOCIETY OF ST. VINCENT DE PAUL DISTRICT COUNCIL OF MID-WILLAMETTE VALLEY | 3745 Portland Rd Ne, Salem, OR 97303 |
| Massachusetts Corporations | SOCIETY OF ST. VINCENT DE PAUL IN THE ARCHDIOCESE OF BOSTON, | 18 Canton St., Stoughton, MA 02072 |
| Oregon Corporations, Companies and Business Names | SOCIETY OF ST. VINCENT DE PAUL OF LANE COUNTY | 2890 Chad Dr, Eugene, OR 97408 |
| Oregon Corporations, Companies and Business Names | SOCIETY OF ST. VINCENT DE PAUL REDMOND CONFERENCE | 651 Sw Veterans Way, Redmond, OR 97756 |
| Street Address |
420 W WATKINS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619077229 | Erin Marie Tharalson | Nurse Practitioner | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2006-09-24 |
| 1649806019 | Aishwarya Subramanian | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-18 |
| 1043846389 | Hye Ryun Choi | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-18 |
| 1669007365 | Betzanahy Leyva | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-03 |
| 1821551755 | Jonathan Dizon | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-04-08 |
| 1891257176 | Lissette Ruiz Ibarra | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-04-04 |
| 1548721541 | Ermias Mehretab | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-03-31 |
| 1922503218 | Maria Shah | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2018-03-28 |
| 1558802280 | Haley Van Winkle | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2017-03-14 |
| 1336689280 | Daniel Pico | Dentist | 420 W Watkins Rd, Phoenix, AZ 85003 | 2017-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| 1376154450 | Hatcher Dental Studio | Dentist | 421 W Hatcher Rd # 101, Phoenix, AZ 85021-2455 | 2020-08-12 |
| 1811515885 | Robert James Koch | Dentist | 2236 W Bethany Home Rd Ste 1, Phoenix, AZ 85015-1934 | 2020-07-07 |
| 1093332454 | James Dang | Dentist | 2777 E Camelback Rd Ste 101, Phoenix, AZ 85016-4348 | 2020-07-01 |
| 1639700735 | Swiss Biologic Dentistry, LLC | Dentist | 4202 N 32nd St Ste A, Phoenix, AZ 85018-4764 | 2020-01-28 |
| 1194370403 | Rajas Milind Pradhan | Dentist | 4201 E Bell Rd, Phoenix, AZ 85032-2211 | 2019-08-04 |
| 1396398806 | Aman Kaur | Dentist | 3320 W Southern Ave Ste 111, Phoenix, AZ 85041-4307 | 2019-07-23 |
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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.