AVONDALE ENDODONTICS, PLC (NPI# 1114396389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114396389 |
Entity Type | Organization |
Organization Name | AVONDALE ENDODONTICS, PLC |
Practice Address |
10750 W Mcdowell Rd Suite A250 Avondale AZ 85392-5960 |
Practice Telephone | 6239079400 |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |
Authorized Official Name | FRANCISCO J CASTANO (OWNER) |
Authorized Official Telephone | 6233767400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | D05542 | AZ | Dental Providers |
Y | 1223E0200X |
Dentist Specialization: Endodontics |
D05887 | AZ | Dental Providers |
Street Address |
10750 W MCDOWELL RD SUITE A250 |
City | AVONDALE |
State | AZ |
Zip Code | 85392-5960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154389195 | Paula Jill Purtee | Registered Nurse | 10750 W Mcdowell Rd, Suite G700, Avondale, AZ 85392-5960 | 2006-05-01 |
1982201299 | Prosper Az | Community/Behavioral Health | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2020-10-08 |
1043728546 | Jenna L Graham | Dietitian, Registered | 10750 W Mcdowell Rd, Avondale, AZ 85392 | 2018-01-18 |
1902324197 | Chelsea Hiemer | Nurse Practitioner | 10750 W Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-07 |
1104340264 | Gabriel Alejandro Aguilar | Physical Therapy Assistant | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2017-07-31 |
1457702219 | Pa Healthcare | Durable Medical Equipment & Medical Supplies | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2016-06-23 |
1558711507 | Ryan Ambrose | Optometrist | 10750 W Mcdowell Rd, Bldg A100, Avondale, AZ 85392-5960 | 2016-06-20 |
1922484229 | Brandon Olson | Physical Therapist | 10750 W Mcdowell Rd, Suite B210, Avondale, AZ 85392-5960 | 2015-08-10 |
1881074318 | Sun Valley Pediatric Dentistry, Pllc | Dentist | 10750 W Mcdowell Rd, Suite F-610, Avondale, AZ 85392-5960 | 2015-05-29 |
1235548975 | Mackenzie Sheerin Black | Optometrist | 10750 W Mcdowell Rd, A100, Avondale, AZ 85392-5960 | 2014-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
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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 |
---|---|---|---|---|
1538590484 | Mountain View Endodontics | Dentist | 10750 W Mcdowell Rd Ste A250, Avondale, AZ 85392-5979 | 2013-12-03 |
1821698622 | Nsn Dental, Pllc | Dentist | 10750 W Mcdowell Rd Ste A250, Avondale, AZ 85392-5979 | 2020-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275005688 | Ocotillo Lakes Endodontics, LLC | Dentist | 3200 S Alma School Rd Ste 203, Chandler, AZ 85248-3773 | 2018-12-24 |
1952800542 | Acacia Endondontic Partners LLC | Dentist | 1300 N Mcclintock Dr Ste B2, Chandler, AZ 85226-7241 | 2018-02-08 |
1295242618 | Precision Endodontics LLC | Dentist | 2034 E Southern Ave Ste C, Tempe, AZ 85282-7511 | 2018-01-08 |
1366962995 | Mesa Endodontics Pllc | Dentist | 2855 E Brown Rd Ste 15, Mesa, AZ 85213-4216 | 2017-06-25 |
1295281525 | West Valley Endodontics and Oral Surgery Inc | Dentist | 14122 W. Mcdowell Rd., 201, Goodyear, AZ 85395 | 2016-08-28 |
1083005136 | Baseline Dental, PC | Dentist | 2030 W Baseline Rd Ste 176, Phoenix, AZ 85041-6574 | 2015-02-11 |
1548678113 | Erik John Foisy | Dentist | 15294 W Brookside Ln Ste 100, Surprise, AZ 85374-2446 | 2014-07-28 |
1457767758 | Brandi L. Molina | Dentist | 702 E Bell Rd Ste 111, Phoenix, AZ 85022-6639 | 2014-07-08 |
1255762175 | Stephen L. Walker Dds Pllc | Dentist | 2220 W Southern Ave Ste 102, Mesa, AZ 85202-4706 | 2013-12-03 |
1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
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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.