NORTH VALLEY ENDODONTICS, P.A. (NPI# 1659308641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659308641 |
| Entity Type | Organization |
| Organization Name | NORTH VALLEY ENDODONTICS, P.A. |
| Other Organization Name | VALLEY ENDODONTIC SPECIALTY GROUP |
| Practice Address |
706 E Bell Road Suite 106 Phoenix AZ 85022-6640 |
| Mailing Address |
706 E Bell Rd Suite 106 Phoenix AZ 85022-6640 |
| Practice Telephone | 6024827000 |
| Practice Fax Number | 6024827021 |
| Mailing Telephone | 6024827000 |
| Mailing Fax Number | 6024827021 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-06-26 |
| Authorized Official Name | STEVEN HYMOVITCH (OWNER) |
| Authorized Official Telephone | 6024827000 |
| Authorized Official Credential | D.D.S., M.B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4411 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Valley Endodontic Specialty Group | Doing Business As Name - Organization |
| Street Address |
706 E BELL ROAD SUITE 106 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-6640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005136 | Baseline Dental, PC | Dentist | 2030 W Baseline Rd Ste 176, Phoenix, AZ 85041-6574 | 2015-02-11 |
| 1457767758 | Brandi L. Molina | Dentist | 702 E Bell Rd Ste 111, Phoenix, AZ 85022-6639 | 2014-07-08 |
| 1730496514 | Carl R Wright | Dentist | 15215 S 48th St Ste 136, Phoenix, AZ 85044-9138 | 2010-09-01 |
| 1891982443 | Emad Gus Khalifa | Dentist | 20950 N Tatum Blvd Ste 210, Phoenix, AZ 85050-4268 | 2007-09-27 |
| 1558567743 | Percy B. Twine | Dentist | 2020 W Baseline Rd Ste 172, Phoenix, AZ 85041-6573 | 2007-06-25 |
| 1972713493 | Eugene Salazar | Dentist | 706 E Bell Rd Ste 104, Phoenix, AZ 85022 | 2007-05-23 |
| 1831294032 | Kevin T Axx | Dentist | 4141 N 32nd St Ste 100, Phoenix, AZ 85018-4775 | 2006-09-13 |
| 1700811692 | Jacqueline Savannah Allen | Dentist | 6520 N 7th Ave, Suite 7, Phoenix, AZ 85013-1173 | 2006-07-11 |
| 1427004654 | Victor A Palmieri | Dentist | 2737 E Brookwood Ct, Phoenix, AZ 85048-9359 | 2006-05-26 |
| 1861466146 | Matthew B Tonioli | Dentist | 4141 N 32nd St, Suite 100, Phoenix, AZ 85018 | 2006-02-14 |
| 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.