1194537258 NPI number — BARBARA DELORAS VALENZUELA BHT II

Table of content: DR. TROY DECKER DDS (NPI 1194099218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194537258 NPI number — BARBARA DELORAS VALENZUELA BHT II

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VALENZUELA
Provider First Name:
BARBARA
Provider Middle Name:
DELORAS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BHT II
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194537258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5601 W MCDOWELL RD APT 2010
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85035-4964
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-334-3985
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RI INTERNATIONAL
Provider Second Line Business Practice Location Address:
11361 N 99TH AVE #402
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-650-1212
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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