Individual provider Active NPI

John William Dovgan, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1124011358
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4018 Issued in AZ
Practice address
3841 E Thunderbird Rd
#101
Phoenix, AZ 85032-5719
Phone
(602) 867-1899
Fax
(602) 867-1888
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4018 AZ Primary

Addresses

Primary practice location

3841 E Thunderbird Rd
#101
Phoenix, AZ 85032-5719

Mailing address

3841 E Thunderbird Rd
#101
Phoenix, AZ 85032-5719
Phone (602) 867-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414002122 AZ Order and Referring Only - DentistPractitioner - Dentist 8224336813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4018AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Arizona Dental Partners LLC Past Accepting new patients
John W Dovgn DDS PC Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124011358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 E THUNDERBIRD RD",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325719",
            "telephone_number": "602-867-1899",
            "fax_number": "602-867-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 E THUNDERBIRD RD",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325719",
            "telephone_number": "602-867-1899",
            "fax_number": "602-867-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVGAN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.