Organization Active NPI

Gilbert Sonoma Oral Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Gilbert, AZ
National Provider Identifier
1083369334
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GILBERT SONOMA ORAL SURGERY, P.C.
Practice address
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
Phone
(480) 279-3113
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Dr. Dayne Jensen, MD,DMD
Title
Owner
Phone
(480) 279-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284

Mailing address

7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284

National Provider Directory

National Provider Directory

Locations

7400 S Power Rd
Ste 136
Gilbert, AZ 85297
Phone (480) 279-3111

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1083369334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD STE 136",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD STE 136",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979284",
            "telephone_number": "480-279-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT SONOMA ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-279-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.