Joshua James Eichelberger, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011421 Issued in AZ

Practice address

900 E Florence Blvd Ste D
Casa Grande, AZ 85122-4673

Phone

(815) 409-0549

NPI assigned

Jun 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jte Dental PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1083503650
  NPD Authorized official

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1285366765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 S MCQUEEN RD APT 3092",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861852",
            "telephone_number": "815-409-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD STE D",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224673",
            "telephone_number": "815-409-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHELBERGER",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericah Aleece Edwards
• Karen Lee Edwards
• Zachary Edwards, DO
• Ehrbright and Hankel DDS, PLLC
• Christopher Philip Ehrbright, DDS
• Valena F Eisenhart
• El Sol Home Health, Inc.
• Elaines Residential LLC
• Eleanor a. Clark, MD,PC
• Mehrdod Shakouri Eleezeh, D.O

• General Practice Dentistry in Casa Grande, AZ
• Providers in Casa Grande, 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 Jun 24, 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.