East Valley Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EAST VALLEY ORTHODONTICS

Practice address

1635 N Greenfield Rd Ste 103
Mesa, AZ 85205-4010

Phone

(480) 615-8888

Fax

(480) 615-8890

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Richard Yetter, DDS, MSNPI 1629089867

Title

Orthodontist

Phone

(480) 615-8888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Richard Yetter, DDS

  • Dentist
  • Mesa, AZ
  • NPI 1629089867

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1174091342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054010",
            "telephone_number": "480-615-8888",
            "fax_number": "480-615-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GREENFIELD RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054010",
            "telephone_number": "480-615-8888",
            "fax_number": "480-615-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "YETTER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "480-615-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.