Jared Giatras, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009703 Issued in AZ

Practice address

1714 W Hunt Hwy Ste 100
Queen Creek, AZ 85143-5245

Phone

(480) 882-3119

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Desert Sky Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1427813732
  NPD (past)
• Skyline Dental Group and Orthodontics, LLP

  dba Skyline Dental Group and Orthodontics

  • General Practice Dentistry
  • Queen Creek, AZ
  • NPI 1811250301
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1083062780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WEST HUNT HWY STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85143",
            "telephone_number": "480-882-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W HUNT HWY STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435245",
            "telephone_number": "480-882-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIATRAS",
        "first_name": "JARED",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2016017466",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• German Dobson CVS LLC (CVS Pharmacy #17927)
• German Dobson CVS, L.L.C. (CVS Pharmacy #01720)
• Lyddia Getaweru, MBA, LNHA, ALM
• Lauren Geyer, DO
• Kari Lynn Giarrizzo, P.A.
• Catherine Gibbons, D.D.S.
• Madisyn Gilbert Conn
• Nadia Chenell Gill, B.A. BHT, NAC
• Mitchell J Gold, MD
• Golden Horizon Care LLC

• General Practice Dentistry in Queen Creek, AZ
• Providers in Queen Creek, 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 Jun 13, 2017; 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.