OrganizationActive
Greenway 40 LLC
NPI 1174810840 · Dentist · Phoenix, AZ
Greenway 40 LLC is a Dentist organization in Phoenix, AZ (NPI 1174810840).
Provider details
- NPI number
- 1174810840
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- David Velasco, Co-Owner(602) 595-1115
- License
- AZ4044 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4022 E Greenway Rd
Ste 13
Phoenix, AZ 85032-4797
Phone: (602) 595-1115
Street-level locationGet directions
Mailing address
4022 E Greenway Rd
Phoenix, AZ 85032-4799
Other names (DBA / former)
- Doing business as
- Age Defying Dentistry, Phoenix
Registry dates
- Enumerated
- 2011-07-01
- Last updated
- 2012-08-02
Frequently asked questions
- What is Greenway 40 LLC's NPI number?
- Greenway 40 LLC's National Provider Identifier (NPI) is 1174810840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greenway 40 LLC?
- Greenway 40 LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Greenway 40 LLC located?
- Greenway 40 LLC's practice location on file with NPPES is 4022 E Greenway Rd, Phoenix, AZ 85032-4797.
- What is Greenway 40 LLC's phone number?
- The practice phone number listed in the NPPES registry for Greenway 40 LLC is (602) 595-1115.
- Who is the authorized official for Greenway 40 LLC?
- The authorized official listed on Greenway 40 LLC's NPPES record is David Velasco, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greenway 40 LLC's NPI active?
- Yes — Greenway 40 LLC's NPI (1174810840) is active in the NPPES registry as of the last update on 2012-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.