E Burke Jardine, DMD, PC

Primary specialty

DentistTaxonomy code 122300000X

License

D7240 Issued in AZ

Legal business name

E BURKE JARDINE, DMD, PC

Doing business as

Copper Canyon Dental

Practice address

2680 S Val Vista Dr Ste 125
Gilbert, AZ 85295-2154

Phone

(480) 553-9909

Fax

(480) 553-9905

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Tara Eagar

Title

Front Office Manager

Phone

(480) 553-9909

Specialties & licenses 2

Addresses

Other names 1

• Copper Canyon Dental Doing business as

Locations

Practitioners 1

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

• Mitchell Lepetich, DMD

  • Dentist
  • Gilbert, AZ
  • NPI 1366699373
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1033431085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 125",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952154",
            "telephone_number": "480-553-9909",
            "fax_number": "480-553-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 125",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952154",
            "telephone_number": "480-553-9909",
            "fax_number": "480-553-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E BURKE JARDINE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "EAGAR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "480-553-9909"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7240",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Marie Dykman, RN
• Melissa Lee Dymond, D.O.
• Dynamic Rehab
• Dynamic Rehab Hand Therapy, Inc (Dynamic Rehab)
• Dynamic Rehab Hand Therapy, Inc.
• E Valley Ortho Sports Med PC
• Kaylea Eades, DPT
• Rachel Eager, APRN
• Kayla Marie Earhart, P.T., DPT
• Nicole Earhart, PT, DPT

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.