Individual provider Active NPI

Jeffrey P Ward, D.D.S.

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1215052063
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6019 Issued in AZ
Practice address
5801 S. McClintock Dr. Suite 101
Tempe, AZ 85283
Phone
(480) 730-5000
Fax
(480) 730-6500
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6019 AZ Primary

Addresses

Primary practice location

5801 S. McClintock Dr. Suite 101
Tempe, AZ 85283

Mailing address

5801 S. McClintock Dr, Suite 101
Suite 107
Tempe, AZ 85283-3277
Phone (480) 730-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6019AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South Scottsdale Dental Care L.L.C. General Practice CurrentSince Jun 30, 2024 Accepting new patients
Tempe Dental Care General Practice CurrentSince May 28, 2023 Accepting new patients

Locations

1525 N Granite Reef Rd
Ste 102
Scottsdale, AZ 85257
Phone (480) 730-5000

5801 S McClintock Dr
Ste 101
Tempe, AZ 85283
Phone (480) 730-5000

1835 E Guadalupe Rd
Ste 107
Tempe, AZ 85283
Phone (480) 730-5000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1215052063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S. MCCLINTOCK DR, SUITE 101",
            "address_2": "SUITE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833277",
            "telephone_number": "480-730-5000",
            "fax_number": "480-730-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S. MCCLINTOCK DR. SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283",
            "telephone_number": "480-730-5000",
            "fax_number": "480-730-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.