Sedona Endodontics, LTD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D4301 Issued in AZ

Legal business name

SEDONA ENDODONTICS, LTD

Practice address

1120 W Highway 89a Ste B4
Sedona, AZ 86336-5767

Phone

(928) 204-9213

Fax

(928) 204-9215

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By 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

Dr. Jeffery P. Hreha, DDS, MSD.NPI 1780804294

Title

Owner

Phone

(928) 204-9213

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.

• Jeffery P Hreha, DDS, MSD.

  • Endodontics
  • Sedona, AZ
  • NPI 1780804294
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508086034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W HIGHWAY 89A STE B4",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365767",
            "telephone_number": "928-204-9213",
            "fax_number": "928-204-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W HIGHWAY 89A STE B4",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365767",
            "telephone_number": "928-204-9213",
            "fax_number": "928-204-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDONA ENDODONTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HREHA",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-204-9213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D4301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedona Center for Complementary Medicine, Inc
• Sedona Core Counseling
• Sedona Dental Arts, LLC
• Sedona Dentistry
• Sedona Diagnostic Ultrasound LLC (Sedona Diagnostic Ultrasound)
• Sedona Eye Care PC
• Sedona Family Counseling
• Sedona Family Health PLLC
• Sedona Family Health, PLLC
• Sedona Fire District

• Endodontics in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.