Active NPI
Joseph Donovan Tenney, D.D.S.
- Dentist
- Saint Johns, AZ
National Provider Identifier
1063604965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7350
- Practice address
- 100 North 13TH West
Saint Johns, AZ 85936 - Phone
- (928) 337-2522
- Fax
- (928) 337-4881
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7350 | AZ | Primary |
Addresses
Primary practice location
100 North 13TH West
Saint Johns, AZ 85936
Mailing address
PO Box 930
100 North 13TH West
Saint Johns, AZ 85936-0930
Phone (928) 337-2522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D7350 | Other | AZ | DENTAL STATE LICENSE # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D7350 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph P Platt DDS, PC | General Practice | Past | Accepting new patients |
| Hancock Comprehensive Dentistry | General Practice | Past | Accepting new patients |
| Nicholas T Mallory DMD PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Saint Johns, AZ
- NPI 1477396489
-
- General Practice Dentistry
- Eagar, AZ
- NPI 1053234377
-
- General Practice Dentistry
- St. Johns, AZ
- NPI 1811254246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1063604965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 930",
"address_2": "100 NORTH 13TH WEST",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859360930",
"telephone_number": "928-337-2522",
"fax_number": "928-337-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH 13TH WEST",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "85936",
"telephone_number": "928-337-2522",
"fax_number": "928-337-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNEY",
"first_name": "JOSEPH",
"middle_name": "DONOVAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL STATE LICENSE #",
"identifier": "D7350",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, AZ
- St Johns Concho Senior Citizens Assoc
- St. Johns Unified School District
- Susan C. Starkel, R.N.
- Summit Healthcare Medical Associates
- Superior Speech and Language Services, LLC
- Sandra Maureen Thompson, LPC
- Western Drug Inc
- White Mountain Regional Medical Center Rural Health Clinic - St. Johns
- Tifani Kaye Wilhelm
- Carl S Wiltbank, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.