HDP Casa Grande Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HDP CASA GRANDE DENTAL LLC

Practice address

1968 N Peart Rd Ste 22
Casa Grande, AZ 85122-2497

Phone

(520) 426-0404

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• DM Family Dentistry LLC Doing business as

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1366040057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 N PEART RD STE 22",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222497",
            "telephone_number": "520-426-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 N PEART RD STE 22",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222497",
            "telephone_number": "520-426-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDP CASA GRANDE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DM Family Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Hartley, NP
• Harvest Medical Clinic
• Harvest Physical Therapy, LLC
• Shaheryar Hasan, DMD
• Joshua Lynn Haskins, RN, BSN
• Cory Heal, MD
• Healthy Transitions Programs and Services
• Anthony Nathan Heath II, PHARMD
• Michael Edward Hegmann, M.D.
• David F Heinrich, RN

• 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 Oct 14, 2020; 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.