PDA HOLDINGS, LLC (NPI# 1861918096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861918096 |
| Entity Type | Organization |
| Organization Name | PDA HOLDINGS, LLC |
| Other Organization Name | MAGIC SMILES DENTAL CARE |
| Practice Address |
7333 W Thomas Rd Ste 72 Phoenix AZ 85033-5549 |
| Mailing Address |
1701 E Thomas Rd Ste 204 Phoenix AZ 85016-7675 |
| Practice Telephone | 6022536600 |
| Practice Fax Number | 6022790821 |
| Mailing Telephone | 6024512135 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | AMANDA TRUJILLO (INSURANCE AND CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6024512135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Magic Smiles Dental Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PDA HOLDINGS, LLC | #68, 1328 Broadway, Ste. 1024, New York, Ny 10001 |
| Street Address |
7333 W THOMAS RD STE 72 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85033-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1942849146 | Risas O.s. Dental Partners Az LLC | Dentist | 7442 W. Thomas Rd., Phoenix, AZ 85033 | 2020-01-06 |
| 1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
| 1598188641 | Arlena Lawrence | Health Educator | 6602 W. Osborn Rd., Phoenix, AZ 85033 | 2014-01-27 |
| 1083921076 | Beth Marie Elia | Psychologist | 6601 W. Thomas Rd., Phoenix, AZ 85033 | 2010-09-12 |
| 1720317647 | Nguyen Quoc Tang | Pharmacist | 8325 W Indian Schood Rd, Phoenix, AZ 85033 | 2009-12-24 |
| 1760635775 | Sarah Bess Stauffer | Occupational Therapist | 3401 N. 67th Ave, Phoenix, AZ 85033 | 2008-11-04 |
| 1578748968 | Pain and Rehab Consultants LLC | Pain Medicine | 7400 W Indian School Rd, 114, Phoenix, AZ 85033 | 2008-01-03 |
| 1902023930 | Smile Dental Group | Dentist | 6524 W Indian School Road, Suite A, Phoenix, AZ 85033 | 2007-04-19 |
| 1801955067 | Reva Mae Mckenzie | Technician | 4615 No 82nd Lane, Phoenix, AZ 85033 | 2006-12-06 |
| Find all providers in zip 85033 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
| 1003458688 | Uptown Pediatric Dental Group, Pllc | Clinic/Center | 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014-2443 | 2019-10-15 |
| 1538720818 | Scott A. Simpson Dds Pllc | Clinic/Center | 14231 N 7th St Ste A14231n7, Phoenix, AZ 85022-4360 | 2019-06-26 |
| 1992362891 | Lemon Tree Dentistry LLC | Clinic/Center | 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 | 2019-05-26 |
| 1457813768 | Singh Smile Care | Clinic/Center | 3201 W Peoria Ave Ste A103, Phoenix, AZ 85029-4609 | 2019-04-04 |
| 1710447370 | Minted Dental | Clinic/Center | 21050 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4262 | 2019-03-20 |
| 1679032197 | Denkha Dentistry, LLC | Clinic/Center | 1601 E Bell Rd Ste A13, Phoenix, AZ 85022-6254 | 2019-03-14 |
| 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.