Jay S. Suaverdez DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D5831 Issued in AZ

Legal business name

JAY S. SUAVERDEZ DDS PLLC

Doing business as

Estrella Falls Dentistry

Practice address

14441 W. McDowell Rd
Suite B106
Goodyear, AZ 85395

Phone

(623) 536-3264

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay S. Suaverdez, DDSNPI 1952498263

Title

DDS/Managing Member

Phone

(602) 505-9243

Specialties & licenses 1

Addresses

Other names 1

• Estrella Falls Dentistry Doing business as

Locations

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.

• Jay S. Suaverdez, DDS

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1952498263
  NPD (past) Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1548452907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 W. MCDOWELL RD",
            "address_2": "SUITE B106",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 W. MCDOWELL RD",
            "address_2": "SUITE B106",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. SUAVERDEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "SUAVERDEZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DDS/MANAGING MEMBER",
        "authorized_official_telephone_number": "602-505-9243",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D5831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estrella Falls Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Lynn Jaspers, PA-C
• Manav Jasrotia, MD
• Kiranmai Jasti, DO
• Ramon Jauregui, MD
• Java Autism Services LLC
• Jca Afc Homes
• Penny M Jefferson, RN
• Patrick Jennings, PT, DPT
• David Laurtiz Jensen, D.O.
• Samuel Jensen

• Dental Clinic/Center in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.