Clairissa Patricia Papa, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009496 Issued in AZ

Practice address

18550 E Rittenhouse Rd
Ste 103
Queen Creek, AZ 85142-4598

Phone

(480) 840-3005

NPI assigned

Jun 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skyline Dental Group and Orthodontics, LLP

  • General Practice Dentistry
  • Queen Creek, AZ
  • NPI 1811250301
  NPD (past)

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1508216987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 W DOVE TREE AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 E RITTENHOUSE RD",
            "address_2": "STE 103",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424598",
            "telephone_number": "480-840-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPA",
        "first_name": "CLAIRISSA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Pace, DPT
• Anissa Padilla, B.A.
• Rosa Isela Padilla, MS, BCBA
• Anna Panosian, RN, IBCLC
• Stephen Panosian, FNP
• Gilbert Cerezo Pascual Jr., RNFA
• Anna Louise Pasquinelli, COTA
• Passport to Behavioral Health LLC
• Jaclyn Pastena, OTR/L
• Pinal Patel, LCSW

• General Practice Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.