Organization Active NPI

J Stanley Reidhead DDS PC

  • Dental Clinic/Center
  • Tempe, AZ
National Provider Identifier
1104017326
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3344 Issued in AZ
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

Updated by the provider on Aug 5, 2007

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.NPI 1245252279
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.