Organization Active NPI

Forrest Pratt DMD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Queen Creek, AZ
National Provider Identifier
1184306136
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
FORREST PRATT DMD PLLC
Practice address
20539 E Carriage Way
Queen Creek, AZ 85142-3680
Phone
(480) 766-9829
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Forrest Pratt, DMDNPI 1184156127
Title
Surgeon and Owner
Phone
(480) 766-9829

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

20539 E Carriage Way
Queen Creek, AZ 85142-3680

Mailing address

20539 E Carriage Way
Queen Creek, AZ 85142-3680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1184306136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20539 E CARRIAGE WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20539 E CARRIAGE WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423680",
            "telephone_number": "480-766-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST PRATT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "SURGEON AND OWNER",
        "authorized_official_telephone_number": "480-766-9829",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2023; 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.