Individual provider Active NPI

Jonathan D Richtsteig, DMD

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1285897611
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7568 Issued in AZ
Practice address
18550 S Rittenhouse Rd
Suite 103
Queen Creek, AZ 85242-4598
Phone
(480) 840-3005
Fax
(480) 840-6084
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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 D7568 AZ Primary

Addresses

Primary practice location

18550 S Rittenhouse Rd
Suite 103
Queen Creek, AZ 85242-4598

Mailing address

18550 S Rittenhouse Rd
Suite 103
Queen Creek, AZ 85242-4598
Phone (480) 840-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229001394 CA Order and Referring Only - DentistPractitioner - Dentist 4183905342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7568AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan David Richtsteig DMD PLLC CurrentSince May 4, 2025 Accepting new patients

Locations

5340 S Power Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 258-1731

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1285897611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 S RITTENHOUSE RD",
            "address_2": "SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852424598",
            "telephone_number": "480-840-3005",
            "fax_number": "480-840-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 S RITTENHOUSE RD",
            "address_2": "SUITE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852424598",
            "telephone_number": "480-840-3005",
            "fax_number": "480-840-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTSTEIG",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.