Dentists at Ironwood Crossing, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS AT IRONWOOD CROSSING, LLP

Doing business as

Dentists at Ironwood Crossing

Practice address

40930 N Ironwood Dr Ste 107
Queen Creek, AZ 85140-8829

Phone

(480) 347-0753

Fax

(480) 448-3812

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Gutierrez, DMDNPI 1508386129

Title

Owner

Phone

(480) 347-0753

Specialties & licenses 1

Addresses

Other names 1

• Dentists at Ironwood Crossing Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Gutierrez, D.M.D

  • General Practice Dentistry
  • Maricopa, AZ
  • NPI 1508386129
  NPD (past) Authorized official

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1245874940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 107",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-347-0753",
            "fax_number": "480-448-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS AT IRONWOOD CROSSING, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-347-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists at Ironwood Crossing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists at Ironwood Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rian Oliver Duque De Leon, DMD
• Wendi Lyn Decker, RN
• Nathan Delahanty
• Alexandria Monique Delash, LAC
• Melissa Marie Denego
• Dentists at Queen Creek, PLLC
• Dentists of Queen Creek LLP (Dentists of Queen Creek)
• Aran Deol, MD
• Desert Hills Physical Therapy and Wellness LLC
• Desert Medical LLC

• 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 Feb 8, 2022; 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.