Individual provider Active NPI

Joel Edwin Tiffany, DMD

  • Dentist
  • Tempe, AZ
National Provider Identifier
1134359474
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D 7856 Issued in AZ
Practice address
745 W Baseline Rd Ste 1
Tempe, AZ 85283-5948
Phone
(480) 777-5570
NPI assigned
Jul 21, 2009
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 D 7856 AZ Primary

Addresses

Primary practice location

745 W Baseline Rd Ste 1
Tempe, AZ 85283-5948

Mailing address

745 W Baseline Rd Ste 1
Tempe, AZ 85283-5948
Phone (480) 777-5570

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
I20161011001729 AZ Order and Referring Only - DentistPractitioner - Dentist 7315235108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D 7856AZMDDentist
DS037898PAMDDentist
0401412561VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Station Kids Dentist and Orthodontics, LLP Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1134359474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W BASELINE RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835948",
            "telephone_number": "480-777-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W BASELINE RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835948",
            "telephone_number": "480-777-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY",
        "first_name": "JOEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D 7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.