NPIMap

Organization Active NPI

Peach Tree Dental Group, LLP

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1154580645
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEACH TREE DENTAL GROUP, LLP
Practice address
21582 S Ellsworth Loop Rd
Suite 126
Queen Creek, AZ 85242-7881
Phone
(480) 888-1416
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Brian D Buehler, DDS
Title
Owner Doctor
Phone
(480) 888-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21582 S Ellsworth Loop Rd
Suite 126
Queen Creek, AZ 85242-7881

Mailing address

2860 Michelle FL 2
2ND Floor
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

  • PEACH TREE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

21582 S Ellsworth Loop Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 888-1416

Practitioners & affiliated clinicians

Practitioners 3

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1154580645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21582 S ELLSWORTH LOOP RD",
            "address_2": "SUITE 126",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852427881",
            "telephone_number": "480-888-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH TREE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "BUEHLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "480-888-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACH TREE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.