Individual provider Active NPI

Jonathan Held, D.D.S

  • General Practice Dentistry
  • Sedona, AZ
National Provider Identifier
1376958710
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10133 Issued in AZ
Practice address
80 Soldiers Pass Rd Ste C
Sedona, AZ 86336-4738
Phone
(928) 282-7871
Fax
(928) 282-6470
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 D10133 AZ Primary

Addresses

Primary practice location

80 Soldiers Pass Rd Ste C
Sedona, AZ 86336-4738

Mailing address

80 Soldiers Pass Rd Ste C
Sedona, AZ 86336-4738
Phone (928) 282-7871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20150630000366 SD Order and Referring Only - DentistPractitioner - Dentist 7719299049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10133AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Dental Design of Sedona, PLLC Current Accepting new patients
Sleep Better South Dakota LLC Current Accepting new patients
Sleep Better Southwest PLLC PastSince Aug 3, 2021 Accepting new patients

Locations

80 Soldiers Pass Rd
Ste C
Sedona, AZ 86336
Phone (928) 282-7871

Organizations & group practices 3

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1376958710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOLDIERS PASS RD STE C",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364738",
            "telephone_number": "928-282-7871",
            "fax_number": "928-282-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOLDIERS PASS RD STE C",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364738",
            "telephone_number": "928-282-7871",
            "fax_number": "928-282-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELD",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.