Modern Smiles Pllc
Modern Smiles Pllc is a healthcare organization registered as General Practice Dentistry in Phoenix, AZ, holding Type 2 (organization) NPI 1164292256 since 2024. The authorized official on file is Chad Hendricks, Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164292256 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Modern Smiles Pllc |
| Practice address | 2933 W CACTUS RD, Phoenix, AZ, 85029 |
| Phone | 6028639079 |
| Enumeration date | 2024-01-08 |
| Last updated in NPPES | 2024-01-08 |
Authorized official
| Name | Chad Hendricks |
|---|---|
| Title | Credentialing |
| Phone | 6128590444 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Modern Smiles Pllc NPI: 1164292256 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2933 W CACTUS RD, Phoenix, AZ, 85029
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972549293 | Ernest Johnson | Individual | General Practice Dentistry | Phoenix, AZ |
| 1902081359 | Ernest N. Johnson, DDS, PC | Organization | Dental Clinic/Center | Phoenix, AZ |
| 1073909321 | Ernest N. Johnson, DDS, PC | Organization | Special Hospital | Phoenix, AZ |
Verify this record
Cross-check NPI 1164292256 against the authoritative CMS record: view Modern Smiles Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Modern Smiles Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-08.