Active NPI
J Stanley Reidhead DDS PC
- Dental Clinic/Center
- Tempe, AZ
National Provider Identifier
1104017326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3344
- Legal business name
- J STANLEY REIDHEAD DDS PC
- Practice address
- 2076 E Southern Ave
Suite C-103
Tempe, AZ 85282-7596 - Phone
- (480) 839-0366
- Fax
- (480) 775-8608
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Stanley Reidhead, D.D.S.
- Title
- President
- Phone
- (480) 839-0366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3344 | AZ | Primary |
Addresses
Primary practice location
2076 E Southern Ave
Suite C-103
Tempe, AZ 85282-7596
Mailing address
2076 E Southern Ave
Suite C 103
Tempe, AZ 85282-7520
Phone (480) 839-0366
National Provider Directory
National Provider DirectoryLocations
2076 E Southern Ave
Ste C103
Tempe, AZ 85282
Phone (480) 839-0366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tempe, AZ
- NPI 1245252279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1104017326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2076 E SOUTHERN AVE",
"address_2": "SUITE C 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827520",
"telephone_number": "480-839-0366",
"fax_number": "480-775-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 E SOUTHERN AVE",
"address_2": "SUITE C-103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827596",
"telephone_number": "480-839-0366",
"fax_number": "480-775-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J STANLEY REIDHEAD DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "REIDHEAD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-839-0366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AZ",
"license": "3344",
"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 Aug 5, 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.