Blue Ridge Family Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLUE RIDGE FAMILY DENTISTRY, PC

Practice address

1450 E White Mountain Blvd Ste a
Pinetop, AZ 85935-7091

Phone

(928) 367-4466

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Hanridge, DDSNPI 1750427951

Title

President, BRFD, PC

Phone

(928) 367-4466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonathan Hanridge, D.D.S

  • General Practice Dentistry
  • Pinetop, AZ
  • NPI 1750427951
  NPD (past) Authorized official

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1366914012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859353768",
            "telephone_number": "928-367-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E WHITE MOUNTAIN BLVD STE A",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357091",
            "telephone_number": "928-367-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "HANRIDGE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT, BRFD, PC",
        "authorized_official_telephone_number": "928-367-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Oxy-Med LLC
• Amare Integrated Clinical Services, LLC
• Atr Resource Services
• Barnet Dulaney Perkins Eye Center, PLLC
• Richard Albert Boatright, DC
• Bruce Jackson Bryan, MD
• Brooke Lynn Butler, M.S., CCC-SLP
• Carl Peiser, D.D.S.
• Natalie Carroll, PTA

• Dental Clinic/Center in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.