Thaddeus Jordan McAlpin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012352 Issued in AZ

Practice address

20061 E Rittenhouse Rd
Queen Creek, AZ 85142-9715

Phone

(480) 918-6101

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1174154397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 105",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-918-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 E RITTENHOUSE RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429715",
            "telephone_number": "480-918-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 Highway 95 N",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864049646",
            "country_code": "US",
            "telephone_number": "928-397-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALPIN",
        "first_name": "THADDEUS",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204073",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Mathie, B.C.B.A.
• Jade Mattern, MSN, AGACNP-BC
• Max Dental LLC
• Maximum Wellness Integrative Health Clinic
• MBC LLC
• Daryn N McClure, M.D.
• Deann McCord
• Weston McDermott, DC
• Avie Gail Socorro Dela Cerna McDonald, SLP-CCC
• Jason Derek McDonald, DC

• General Practice Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.