Jesse Robert McGuire Jr., D.D.S. M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

008404 Issued in AZ

Practice address

1981 N Pebble Creek Pkwy Ste C01
Goodyear, AZ 85395-2543

Phone

(623) 236-9509

Fax

(623) 234-8670

NPI assigned

Jan 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Arrowhead Children'S Dentistry and Orthodontics PLLC

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1689317406
  NPD Authorized official
• Maryvale Children'S Dentistry and Orthodontics PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1245089952
  NPD Authorized official

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1376780973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY",
            "address_2": "STE 1",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-236-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY STE C01",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "623-236-9509",
            "fax_number": "623-234-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13210 E Van Buren St",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "85338",
            "country_code": "US",
            "telephone_number": "623-236-9509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S. M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24509",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "008404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025793-20",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Mae McDowell, DMD
• April McEwan, NP-C
• Khristian McGinley, DPT
• Blair F McGirk, MD
• Angelica J McGough, APRN, CNP
• Hadriana McIntosh, PHARMD
• Jacqueline McKean
• Delanie Schae McKeon
• Jacqueline McLeod, FNP-C
• Marlina McMullin, FNP-BC

• All providers in Goodyear, AZ
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.