Organization Active NPI

Desert Rose Family Dentistry LLC

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1487974333
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6169 Issued in AZ
Legal business name
DESERT ROSE FAMILY DENTISTRY LLC
Practice address
8675 S Priest Dr Ste 101
Tempe, AZ 85284-1914
Phone
(480) 961-0600
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Dr. Rima Peters, DMDNPI 1992704647
Title
Owner
Phone
(480) 961-0600

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 SINGLE SPECIALTY GROUP 1223G0001X D6169 AZ Primary

Addresses

Primary practice location

8675 S Priest Dr Ste 101
Tempe, AZ 85284-1914

Mailing address

8675 S Priest Dr Ste 101
Tempe, AZ 85284
Phone (480) 961-0600

Other names 1

  • Warner Village Cosmetic and Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8675 S Priest Dr
Ste 101
Tempe, AZ 85284
Phone (480) 208-7436

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": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1487974333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "480-961-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841914",
            "telephone_number": "480-961-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-961-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warner Village Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

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

Verify at the official NPI Registry.