TRENT NIELSEN (NPI# 1326420415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326420415 |
| Entity Type | Individual |
| Full Name | TRENT NIELSEN |
| Credential | DDS |
| Practice Address |
12417 W Encanto Blvd Avondale AZ 85392-6515 |
| Practice Telephone | 6235332875 |
| Mailing Telephone | 6235332875 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
30937 | TX | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
D009273 | AZ | Dental Providers |
| Street Address |
12417 W ENCANTO BLVD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-6515 |
| 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 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699252544 | Green States Anesthesia Pllc | Dentist | 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 | 2018-07-24 |
| 1760847628 | Sleepcare Dental LLC | Dentist | 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 | 2015-12-20 |
| 1144660358 | Thanh Hoang Phan | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2013-07-02 |
| 1184799538 | Reuben Nelson Turner | Dentist | 625 W Southern Ave Ste E-145, Mesa, AZ 85210-5030 | 2006-11-21 |
| 1811066541 | Mari Cynthia Fukami | Dentist | 625 W Southern Ave, Ste E-145, Mesa, AZ 85210-5030 | 2006-11-07 |
| 1376108035 | Tcp Anesthesia Services Pllc | Dentist | 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 | 2019-05-07 |
| 1881185791 | Comfort Care Anesthesia, LLC | Dentist | 13601 N Canterbury Dr, Phoenix, AZ 85023-6290 | 2018-05-25 |
| 1689025256 | Arizona Dental Anesthesia Pllc | Dentist | 14100 N 83rd Ave Ste 280, Peoria, AZ 85381-5660 | 2016-06-24 |
| 1700241809 | Arizona Anesthesia for Dentistry, LLC | Dentist | 6600 N Oracle Rd, Ste 110, Tucson, AZ 85704-5676 | 2015-12-16 |
| 1447641139 | Minsoek Kang Dentistry, Pllc | Dentist | 15033 W Bell Rd, Ste 175, Surprise, AZ 85374-3217 | 2015-02-17 |
| Find all providers with the same taxonomy | ||||
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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.