Organization Active NPI

Charles J. Gatti D.D.S. P.C.

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1376983510
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-4197 Issued in AZ
Legal business name
CHARLES J. GATTI D.D.S. P.C.
Practice address
7505 W Deer Valley Rd
Suite #140
Peoria, AZ 85382-2107
Phone
(623) 376-6111
Fax
(623) 376-6550
NPI assigned
Jul 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Charles John Gatti, D.D.S.NPI 1629097605
Title
Dentist/Owner
Phone
(623) 376-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D-4197 AZ Primary

Addresses

Primary practice location

7505 W Deer Valley Rd
Suite #140
Peoria, AZ 85382-2107

Mailing address

7505 W Deer Valley Rd
Suite #140
Peoria, AZ 85382-2107
Phone (623) 376-6111

National Provider Directory

National Provider Directory

Locations

7505 W Deer Valley Rd
Ste 140
Peoria, AZ 85382
Phone (623) 376-6111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1376983510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE #140",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-376-6111",
            "fax_number": "623-376-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE #140",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-376-6111",
            "fax_number": "623-376-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. GATTI D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "GATTI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "623-376-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D-4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.