NPIMap

Organization Active NPI

North Stapely Dental Care

  • Dentist
  • Mesa, AZ
National Provider Identifier
1003872680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5252 Issued in AZ
Legal business name
NORTH STAPELY DENTAL CARE
Practice address
335 N Stapley Dr
Mesa, AZ 85203-8030
Phone
(480) 964-2662
Fax
(480) 649-9813
NPI assigned
Apr 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chet L Jenkins, D.D.S.NPI 1750502456
Title
Owner
Phone
(480) 792-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5252 AZ Primary

Addresses

Primary practice location

335 N Stapley Dr
Mesa, AZ 85203-8030

Mailing address

335 N Stapley Dr
Mesa, AZ 85203-8030
Phone (480) 964-2662

National Provider Directory

National Provider Directory

Locations

335 N Stapley Dr
Mesa, AZ 85203
Phone (480) 964-2662

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003872680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038030",
            "telephone_number": "480-964-2662",
            "fax_number": "480-649-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038030",
            "telephone_number": "480-964-2662",
            "fax_number": "480-649-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAPELY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-792-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.