Individual provider Active NPI

Joseph Alexander Santoro, DDS

  • General Practice Dentistry
  • Peoria, AZ
National Provider Identifier
1508915836
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5227 Issued in AZ
Practice address
9059 W Lake Pleasant Pkwy
Ste #a-100
Peoria, AZ 85382-8336
Phone
(623) 572-0102
Fax
(623) 572-0547
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5227 AZ Primary

Addresses

Primary practice location

9059 W Lake Pleasant Pkwy
Ste #a-100
Peoria, AZ 85382-8336

Mailing address

8180 E Shea Blvd
1039
Scottsdale, AZ 85260-6568
Phone (480) 251-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Dental Care, PC General Practice PastSince Oct 1, 2016 Accepting new patients
Dr. Reese Turner, DDS, PC PastSince May 24, 2020 Accepting new patients
Peoria Dental Smiles LLC PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1508915836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 E SHEA BLVD",
            "address_2": "1039",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606568",
            "telephone_number": "480-251-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9059 W LAKE PLEASANT PKWY",
            "address_2": "STE #A-100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828336",
            "telephone_number": "623-572-0102",
            "fax_number": "623-572-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JOSEPH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5227",
            "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 Dec 5, 2007; 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.