NPIMap

Organization Active NPI

Chandler Dental Health, PLLC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1164571071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4869 Issued in AZ
Legal business name
CHANDLER DENTAL HEALTH, PLLC
Practice address
1035 W Queen Creek Rd
Suite 206
Chandler, AZ 85248-8123
Phone
(480) 899-6677
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Giacobbi, DDSNPI 1487865499
Title
Owner
Phone
(480) 899-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4869 AZ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4976 AZ

Addresses

Primary practice location

1035 W Queen Creek Rd
Suite 206
Chandler, AZ 85248-8123

Mailing address

1035 W Queen Creek Rd
Suite 206
Chandler, AZ 85248-8123
Phone (480) 899-6677

Other identifiers 2

IdentifierTypeStateIssuer
4976OtherAZDENTAL LICENSE
4869OtherAZDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

1035 W Queen Creek Rd
Ste 206
Chandler, AZ 85248
Phone (480) 899-6677

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164571071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W QUEEN CREEK RD",
            "address_2": "SUITE 206",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488123",
            "telephone_number": "480-899-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W QUEEN CREEK RD",
            "address_2": "SUITE 206",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852488123",
            "telephone_number": "480-899-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER DENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIACOBBI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-899-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4869",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "4976",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "4869",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.