Individual provider Active NPI

Jazmin Penaloza Mata

  • Dental Hygienist
  • Peoria, AZ
National Provider Identifier
1275486607
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H010881 Issued in AZ
Practice address
15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820
Phone
(480) 964-2273
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H010881 AZ Primary

Addresses

Primary practice location

15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820

Mailing address

7562 N 125TH Ave
Glendale, AZ 85307-1745

Other practice location 1

34317 N Cave Creek Rd Ste 103
Cave Creek, AZ 85331-5137
Phone (480) 595-0800

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
H010881AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Cave Creek Dentistry, LLP Past Accepting new patients

Organizations & group practices 1

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1275486607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 N 125TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853071745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 N 83RD AVE STE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825820",
            "telephone_number": "480-964-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34317 N Cave Creek Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cave Creek",
            "state": "AZ",
            "postal_code": "853315137",
            "country_code": "US",
            "telephone_number": "480-595-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENALOZA MATA",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H010881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.