JL Shaughnessy Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JL SHAUGHNESSY DENTAL ASSOCIATES

Practice address

42104 N Venture Court
BLDG E Suite 103
Anthem, AZ 85086

Phone

(623) 551-9200

Fax

(623) 551-9102

NPI assigned

Oct 30, 2006

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jammie Shaughnessy, RDH

Title

Owner/Hygienist

Phone

(623) 551-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1437235769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE COURT",
            "address_2": "BLDG E SUITE 103",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-9200",
            "fax_number": "623-551-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE COURT",
            "address_2": "BLDG E SUITE 103",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "85086",
            "telephone_number": "623-551-9200",
            "fax_number": "623-551-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL SHAUGHNESSY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "JAMMIE",
        "authorized_official_title_or_position": "OWNER/HYGIENIST",
        "authorized_official_telephone_number": "623-551-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.