Picacho Dental Partners LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PICACHO DENTAL PARTNERS LLC

Practice address

3325 S. Avenue 8E, Ste. 4
Yuma, AZ 85365-8536

Phone

(928) 344-3177

Fax

(928) 344-3157

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Lemmon, DDSNPI 1871752352

Title

Partner

Phone

(720) 352-4456

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Thomas Lemmon, DDS

  • Dentist
  • Yuma, AZ
  • NPI 1871752352
  NPD Authorized official
• Eric Greggory Lines

  • General Practice Dentistry
  • Yuma, AZ
  • NPI 1801385778
  NPD
• Allegra L Hopkins, DDS

  • General Practice Dentistry
  • Travis AFB, CA
  • NPI 1780106567
  NPD (past)

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1144035312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 S. AVENUE 8E, STE. 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-344-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 S. AVENUE 8E, STE. 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658536",
            "telephone_number": "928-344-3177",
            "fax_number": "928-344-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICACHO DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LEMMON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-352-4456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Phan, PHARM.D.
• Phillip C. Richemont,M.D., PC
• Roree Michele Phillips, MD
• Phoenician Medical Center Inc (AZ Health Clinic)
• Phoenix Recovery Clinic LLC (Phoenix Recovery Center)
• Pierced Valley Therapy PLLC
• Wendy Pineda
• Pinnacle Healthcare
• Pinnacle Medical Group Arizona, P.C.
• Pinnacle Peak, Inc.

• Dental Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.