EAST VALLEY DENTAL ANESTHESIA, PLLC (NPI# 1518366111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518366111 |
| Entity Type | Organization |
| Organization Name | EAST VALLEY DENTAL ANESTHESIA, PLLC |
| Practice Address |
67 S Higley Rd Suite 103 Gilbert AZ 85296-1166 |
| Practice Telephone | 4805185502 |
| Practice Fax Number | 4802199234 |
| Mailing Telephone | 4805185502 |
| Mailing Fax Number | 4802199234 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | DR. MARVIN TODD CHRISTENSEN (OWNER/OPERATOR) |
| Authorized Official Telephone | 4805185502 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
5604 | AZ | Dental Providers |
| Street Address |
67 S HIGLEY RD SUITE 103 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093162604 | Valley Medical Internist, Plc | Internal Medicine | 67 S Higley Rd, #103-509, Gilbert, AZ 85296-1166 | 2016-05-24 |
| 1730546938 | Beyond Rx LLC | Case Management | 67 S Higley Rd, Ste103-194, Gilbert, AZ 85296-1166 | 2016-01-20 |
| 1770964009 | Sonoran Surgical Assisting | Physician Assistant | 67 S Higley Rd, 103-228, Gilbert, AZ 85296-1166 | 2015-06-11 |
| 1801210364 | Claudia Cardenas-jacinto | Physician Assistant | 67 S Higley Rd, Suite #103-228, Gilbert, AZ 85296-1166 | 2014-02-04 |
| 1851470264 | M. Todd Christensen | Dentist | 67 S Higley Rd, 103, Gilbert, AZ 85296-1166 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760847628 | Sleepcare Dental LLC | Dentist | 625 W Deer Valley Rd Ste 103622, Phoenix, AZ 85027-2138 | 2015-12-20 |
| 1326420415 | Trent Nielsen | Dentist | 12417 W Encanto Blvd, Avondale, AZ 85392-6515 | 2015-06-24 |
| 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.