Active NPI
Dennis Earl Doelle, D.D.S.
- General Practice Dentistry
- Carefree, AZ
National Provider Identifier
1386947620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- AZ2133
- Practice address
- 7223 E Carefree Dr
Carefree, AZ 85377-2506 - Phone
- (480) 488-9241
- Fax
- (480) 488-3652
- NPI assigned
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | AZ2133 | AZ | Primary |
Addresses
Primary practice location
7223 E Carefree Dr
Carefree, AZ 85377-2506
Mailing address
PO Box 2506
Carefree, AZ 85377-2506
Phone (480) 488-9241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ2133 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1386947620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2506",
"city": "CAREFREE",
"state": "AZ",
"postal_code": "853772506",
"telephone_number": "480-488-9241",
"fax_number": "480-488-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7223 E CAREFREE DR",
"city": "CAREFREE",
"state": "AZ",
"postal_code": "853772506",
"telephone_number": "480-488-9241",
"fax_number": "480-488-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOELLE",
"first_name": "DENNIS",
"middle_name": "EARL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "AZ2133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carefree, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.