Tephrocactus LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

F000539 Issued in AZ

Legal business name

TEPHROCACTUS LLC

Doing business as

Gilbert Road Dental Care

Practice address

2158 N Gilbert Rd
Mesa, AZ 85203-2109

Phone

(480) 649-7200

NPI assigned

Jan 13, 2015

Last updated

Apr 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasen Stiger

Title

Corporate Secretary

Phone

(602) 225-0595

Specialties & licenses 1

Addresses

Other names 1

• Gilbert Road Dental Care Doing business as

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1033508031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850821025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032109",
            "telephone_number": "480-649-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEPHROCACTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "STIGER",
        "authorized_official_first_name": "JASEN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "602-225-0595"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "F000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbert Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Ann Templeton
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• Marilyn Richardson Tenney, L.P.C.
• Michael B. Tenney, LCSW
• Timothy Tenney, PT, DPT
• Emily Elizabeth Teribery, DO
• Jenna M Ternes, PA-C
• Bridgette L Terrazas, LCSW
• Amy Michelle Terrell, LMHC
• Terros Inc (Terros Health - University Health Center)

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.