Halcomb Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HALCOMB ORTHODONTICS LLC

Practice address

22480 E Ocotillo Rd
Suite 102
Queen Creek, AZ 85142

Phone

(480) 404-9311

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Halcomb, DDSNPI 1174180574

Title

Owner

Phone

(480) 398-0206

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jordan Halcomb, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Queen Creek, AZ
  • NPI 1174180574
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1447967492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 E HALE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134104",
            "telephone_number": "480-398-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 E OCOTILLO RD",
            "address_2": "SUITE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-404-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36275 N Gantzel Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407320",
            "country_code": "US",
            "telephone_number": "480-404-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALCOMB ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "HALCOMB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-398-0206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anahi Gutierrez, DDS
• Gabrielle Guzman
• Ashley Grace Gyory
• Katherine Hakeman, MSN, FNP
• Misagh Hakimian, RPH
• Michael Jordan Halcomb, DDS
• Flint C Hales, MD
• Aubri Hall
• Rebecca Rose Halstead, LAT
• Brenton Hamann, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.