JC Dental Dream Consulting LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JC DENTAL DREAM CONSULTING LLC

Practice address

13660 N 94TH Dr
Peoria, AZ 85381-4836

Phone

(623) 974-4799

Fax

(623) 974-0132

NPI assigned

Mar 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juana Marie Castillo

Title

Owner

Phone

(602) 718-7056

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1003564071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-4799",
            "fax_number": "623-974-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "623-974-4799",
            "fax_number": "623-974-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC DENTAL DREAM CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-718-7056"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Daniel Johnson, PLLC
• Zahraa R Jassar
• Brian Jauregui, LAC
• Christina Jauregui, CPNP
• Nicholas S Jay, DC
• JCL Healthcare Solutions LLC
• Jeff Thomas PLLC
• Will Vahid Jeffers, D.O.
• Jeffrey C Kleiman DMD PC
• Jeffrey S. Alexander

• Dental Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.