ACES DENTAL OF FLAGSTAFF (NPI# 1609236264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609236264 |
Entity Type | Organization |
Organization Name | ACES DENTAL OF FLAGSTAFF |
Practice Address |
1515 E Cedar Ave Unit C1 Flagstaff AZ 86004-1600 |
Mailing Address |
6127 S Rainbow Blvd Suite 100 Las Vegas NV 89118-3255 |
Practice Telephone | 9284405137 |
Practice Fax Number | 7022432893 |
Mailing Telephone | 7029982237 |
Mailing Fax Number | 7022432893 |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-09-16 |
Authorized Official Name | DR. VILAS SASTRY (OWNER) |
Authorized Official Telephone | 9284405137 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D009389 | AZ | Ambulatory Health Care Facilities |
Street Address |
1515 E CEDAR AVE UNIT C1 |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326098781 | East Flagstaff Family Medicine Ltd | Family Medicine | 1515 E Cedar Ave, Ste A3, Flagstaff, AZ 86004-1600 | 2006-05-10 |
1225557044 | Andrew John Conboy | Physician Assistant | 1515 E Cedar Ave, Flagstaff, AZ 86004-1600 | 2017-09-12 |
1548535222 | Heather Ann Coate | Counselor | 1515 E Cedar Ave, #b4, Flagstaff, AZ 86004-1600 | 2012-03-14 |
1952634073 | Joshua Makela | Physician Assistant | 1515 E Cedar Ave, Flagstaff, AZ 86004-1600 | 2009-09-08 |
1316170368 | Southwest Behavioral Health Services, Inc | Clinic/Center | 1515 E Cedar Ave, B-2, B-3, and B-4 Northeast Professional Plaza, Flagstaff, AZ 86004-1600 | 2009-08-25 |
1750511473 | Child & Family Support Services, Inc | Community/Behavioral Health | 1515 E Cedar Ave, Suite D-2, Flagstaff, AZ 86004-1600 | 2009-07-15 |
1336267665 | David M Brewton | Dentist | 1515 E Cedar Ave, C-2, Flagstaff, AZ 86004-1600 | 2007-03-26 |
1891832796 | John Merle Mclaughlin | Dentist | 1515 E Cedar Ave, Suite C-1, Flagstaff, AZ 86004-1600 | 2007-01-31 |
1639241326 | Bradford Croft | Family Medicine | 1515 E Cedar Ave, Suite A-3, Flagstaff, AZ 86004-1630 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548737208 | Bradley J Henkenius, Dds, PC | Clinic/Center | 710 N Beaver St Bldg 1, Flagstaff, AZ 86001-3100 | 2018-10-30 |
1841563095 | Castle Dental Group, PC | Clinic/Center | 2700 S Woodlands Village Blvd Ste 390, Flagstaff, AZ 86001-2981 | 2012-02-20 |
1689290686 | Taylor Hunt Dmd Pllc | Clinic/Center | 1600 W University Ave Ste 113, Flagstaff, AZ 86001-3154 | 2020-06-25 |
1689234510 | Zakar L Elloway, Dds PC | Clinic/Center | 1419 N Beaver St, Flagstaff, AZ 86001-1401 | 2019-06-13 |
1407329519 | L. Scott Seaman, Dds, Pllc | Clinic/Center | 901 N Beaver St, Flagstaff, AZ 86001-3107 | 2019-01-10 |
1770029365 | Oasis Dental Services, Pllc | Clinic/Center | 930 N Switzer Canyon Dr, #200, Flagstaff, AZ 86001-4824 | 2017-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
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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.