Organization Active NPI

John G Fletcher DMD PLLC

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1518326636
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4801 Issued in AZ
Legal business name
JOHN G FLETCHER DMD PLLC
Practice address
2600 E Southern Ave Ste B1
Tempe, AZ 85282-7745
Phone
(480) 839-4550
NPI assigned
Feb 17, 2016
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
John G FletcherNPI 1174525448
Title
Owner/Authorized Official
Phone
(480) 839-4550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4801 AZ Primary

Addresses

Primary practice location

2600 E Southern Ave Ste B1
Tempe, AZ 85282-7745

Mailing address

2600 E Southern Ave Ste B1
Tempe, AZ 85282-7745

National Provider Directory

National Provider Directory

Locations

2600 E Southern Ave
Ste B1
Tempe, AZ 85282
Phone (480) 334-2752

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1518326636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE B1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE B1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827745",
            "telephone_number": "480-839-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G FLETCHER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-839-4550"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.