Organization Active NPI

My Orthodontist, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gilbert, AZ
National Provider Identifier
1174666275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D7070 Issued in AZ
Legal business name
MY ORTHODONTIST, PC
Practice address
2765 S Market St
Suite 103
Gilbert, AZ 85296-6305
Phone
(480) 857-9500
Fax
(480) 857-9502
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Salman Jaffer, D.M.D., M.P.H.NPI 1992848063
Title
President
Phone
(602) 573-1086

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D7070 AZ Primary

Addresses

Primary practice location

2765 S Market St
Suite 103
Gilbert, AZ 85296-6305

Mailing address

902 E Mountain Sage Dr
Phoenix, AZ 85048-4430
Phone (602) 573-1086

National Provider Directory

National Provider Directory

Locations

2765 S Market St
Ste 103
Gilbert, AZ 85295
Phone (480) 857-9500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174666275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E MOUNTAIN SAGE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484430",
            "telephone_number": "602-573-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 S MARKET ST",
            "address_2": "SUITE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966305",
            "telephone_number": "480-857-9500",
            "fax_number": "480-857-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ORTHODONTIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-573-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D7070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, 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.