NPIMap

Organization Active NPI

Alameda Dental Care

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1215245584
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5252 Issued in AZ
Legal business name
ALAMEDA DENTAL CARE
Practice address
2525 S Rural Rd
Ste 2 S
Tempe, AZ 85282-2435
Phone
(480) 967-5788
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Chet L Jenkins, DDS
Title
President
Phone
(480) 967-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D5252 AZ Primary

Addresses

Primary practice location

2525 S Rural Rd
Ste 2 S
Tempe, AZ 85282-2435

Mailing address

2525 S Rural Rd
Ste 2 S
Tempe, AZ 85282-2435
Phone (480) 967-5788

National Provider Directory

National Provider Directory

Locations

2525 S Rural Rd
Ste 2S
Tempe, AZ 85282
Phone (480) 967-5788

Practitioners & affiliated clinicians

Practitioners 2

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1215245584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD",
            "address_2": "STE 2 S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822435",
            "telephone_number": "480-967-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD",
            "address_2": "STE 2 S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822435",
            "telephone_number": "480-967-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-5788",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5252",
            "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 Sep 20, 2010; 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.