AHWATUKEE ORTHODONTIC ASSOCIATES INC (NPI# 1558924415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558924415 |
| Entity Type | Organization |
| Organization Name | AHWATUKEE ORTHODONTIC ASSOCIATES INC |
| Practice Address |
16611 S. 40th Street, Suite 110 Phoenix AZ 85048 |
| Mailing Address |
9377 E. Bell Rd, Suite 185 Scottsdale AZ 85260 |
| Practice Telephone | 4809484010 |
| Mailing Telephone | 4809484010 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | DR. SULIEMAN KASSISIEH (PRESIDENT) |
| Authorized Official Telephone | 4809484010 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
16611 S. 40TH STREET, SUITE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| 1629280169 | Kwon Md, Inc | Specialist | 16515 S. 40th Street, Suite 135, Phoenix, AZ 85048 | 2007-05-04 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636766 | David Hoffman Phoenix Orthodontics PC | Dentist | 5225 N 19th Ave Ste 8, Phoenix, AZ 85015-2903 | 2018-10-25 |
| 1881169233 | Smile Straight Orthodontics - Greenway LLC | Dentist | 3229 E Greenway Rd Ste 101, Phoenix, AZ 85032-4508 | 2018-10-11 |
| 1336656024 | Andrew Philip Serrano | Dentist | 1515 E Missouri Ave Ste 101, Phoenix, AZ 85014-2443 | 2018-01-04 |
| 1659829299 | The Smyl Co | Dentist | 10 W Adams St, Phoenix, AZ 85003-2025 | 2016-09-12 |
| 1932537131 | Jenny Sun | Dentist | 3425 W Thunderbird Rd, Suite 1, Phoenix, AZ 85053-5670 | 2013-10-24 |
| 1053753228 | North Valley Orthodontics Pllc | Dentist | 21050 N Tatum Blvd Ste D202, Phoenix, AZ 85050-4260 | 2013-07-29 |
| 1679823264 | Hemali Kothari | Dentist | 124 W Thomas Rd Ste 320, Phoenix, AZ 85013-4415 | 2012-09-12 |
| 1861720302 | Mark Kenneth Mcalister | Dentist | 702 East Bell Road, #100, Phoenix, AZ 85022 | 2009-11-20 |
| 1841434461 | Daniel S Blue | Dentist | 224 West San Juan Avenue, Phoenix, AZ 85013 | 2009-04-27 |
| 1578706891 | Dental One, Inc. | Dentist | 2434 E. Baseline Rd., Suite 104, Phoenix, AZ 85042-7088 | 2009-04-16 |
| 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.