Individual provider Active NPI

Jared M Nesbit, DDS

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1043547797
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7919 Issued in AZ
Practice address
7350 S McClintock Dr
Suite 102
Tempe, AZ 85283-5006
Phone
(480) 831-9874
Fax
(480) 897-9447
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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 7919 AZ Primary

Addresses

Primary practice location

7350 S McClintock Dr
Suite 102
Tempe, AZ 85283-5006

Mailing address

7350 S McClintock Dr
Suite 102
Tempe, AZ 85283-5006
Phone (480) 831-9874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7919AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Dentistry Dentist Past Accepting new patients

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1043547797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "SUITE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-831-9874",
            "fax_number": "480-897-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "SUITE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-831-9874",
            "fax_number": "480-897-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "JARED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.