Ironwood Dental Care- Cooley LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IRONWOOD DENTAL CARE- COOLEY LLC

Practice address

3875 E Williams Field Rd Ste 102
Gilbert, AZ 85295-5062

Phone

(480) 685-9936

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Paola Ramos

Title

Credentialing Coordinator

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Ironwood Dental Care- Cooley Doing business as

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1114601655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955062",
            "telephone_number": "480-685-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E WILLIAMS FIELD RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955062",
            "telephone_number": "480-685-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD DENTAL CARE- COOLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ironwood Dental Care- Cooley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ironwood Dental Care- Cooley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelsey Ironside, CPNP-PC
• Ironwood Counseling and Psychological Services
• Ironwood Physicians, PC
• Ironwood Physicians, PC
• Michelle Irvin, P.T.
• Michelle Irwin
• Zoe A Irwin

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, 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 Aug 5, 2024; 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.