NPIMap

Organization Active NPI

Lighthall Family Dentistry of Gilbert PLC

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1417350331
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D0008620 Issued in AZ
Legal business name
LIGHTHALL FAMILY DENTISTRY OF GILBERT PLC
Practice address
3509 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0442
Phone
(480) 807-6453
Fax
(480) 814-9005
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Skylar Alan Lighthall, D.D.S.NPI 1245587476
Title
Owner/Dentist
Phone
(480) 807-6453

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D0008620 AZ Primary

Addresses

Primary practice location

3509 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0442

Mailing address

3509 S Mercy Rd
Suite 107
Gilbert, AZ 85297-0442
Phone (480) 807-6453

Other identifiers 1

IdentifierTypeStateIssuer
908239MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners 2

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1417350331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 S MERCY RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970442",
            "telephone_number": "480-807-6453",
            "fax_number": "480-814-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 S MERCY RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970442",
            "telephone_number": "480-807-6453",
            "fax_number": "480-814-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHALL FAMILY DENTISTRY OF GILBERT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "LIGHTHALL",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "480-807-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D0008620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.