Individual provider Active NPI

John J Nay, DDS

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1003972860
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7142 Issued in AZ
Practice address
2179 W 24TH St
Yuma, AZ 85364-6240
Phone
(928) 782-4707
Fax
(928) 782-2212
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7142 AZ Primary

Addresses

Primary practice location

2179 W 24TH St
Yuma, AZ 85364-6240

Mailing address

9851 E Kleindale Rd
Tucson, AZ 85749-8331
Phone (520) 661-7611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916000036 AZ Order and Referring Only - DentistPractitioner - Dentist 9739496209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7142AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
General Dentistry 4 Kids-Valencia PLLC General Practice PastSince Oct 21, 2025 Accepting new patients

Networks

  • NM HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1003972860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 E KLEINDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498331",
            "telephone_number": "520-661-7611",
            "fax_number": "928-782-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646240",
            "telephone_number": "928-782-4707",
            "fax_number": "928-782-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.