Organization Active NPI

General Dental 4 Kids

Doing business as General Dental

  • General Practice Dentistry
  • Sierra Vista, AZ
National Provider Identifier
1518178276
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GENERAL DENTAL 4 KIDS
Doing business as
General Dental
Practice address
1729 Paseo San Luis
B
Sierra Vista, AZ 85635-4611
Phone
(520) 458-2520
Fax
(520) 459-7877
NPI assigned
May 24, 2007
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Dr. Jared W. Haws, DDS
Title
Owner/Dentist
Phone
(520) 458-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1729 Paseo San Luis
B
Sierra Vista, AZ 85635-4611

Mailing address

1729 Paseo San Luis
B
Sierra Vista, AZ 85635-4611
Phone (520) 458-2520

Other names 1

  • General Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1729 Paseo San Luis
#B
Sierra Vista, AZ 85635
Phone (520) 458-2520

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1518178276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 PASEO SAN LUIS",
            "address_2": "B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354611",
            "telephone_number": "520-458-2520",
            "fax_number": "520-459-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 PASEO SAN LUIS",
            "address_2": "B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354611",
            "telephone_number": "520-458-2520",
            "fax_number": "520-459-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTAL 4 KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "520-458-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.