Organization Active NPI

LDJ Endodontics, LTD

  • Endodontics
  • Peoria, AZ
National Provider Identifier
1508868209
Registry record updated Apr 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2335 Issued in AZ
Legal business name
LDJ ENDODONTICS, LTD
Practice address
8632 W Clara LN
Peoria, AZ 85382-1429
Phone
(623) 878-6996
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2012

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

Authorized official

Name
Dr. Laurence Douglas Johns
Title
President
Phone
(623) 878-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 2335 AZ Primary

Addresses

Primary practice location

8632 W Clara LN
Peoria, AZ 85382-1429

Mailing address

8632 W Clara LN
Peoria, AZ 85382-1429
Phone (623) 878-6996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334448000000",
    "number": "1508868209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8632 W CLARA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853821429",
            "telephone_number": "623-878-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 W CLARA LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853821429",
            "telephone_number": "623-878-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDJ ENDODONTICS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-04-15",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-878-6996",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; 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.