Organization Active NPI

Mfdo

  • General Practice Dentistry
  • Maricopa, AZ
National Provider Identifier
1558701698
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MFDO
Doing business as
MARICOPA FAMILY DENTISTRY & ORTHODONTICS
Practice address
44480 W Honeycutt Rd
Ste 110
Maricopa, AZ 85138-2903
Phone
(520) 568-9100
Fax
(520) 568-9190
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Jared Michael PopeNPI 1275667479
Title
Doctor
Phone
(520) 568-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

44480 W Honeycutt Rd
Ste 110
Maricopa, AZ 85138-2903

Mailing address

44480 W Honeycutt Rd
Ste 110
Maricopa, AZ 85138-2903
Phone (520) 568-9100

Other names 1

  • MARICOPA FAMILY DENTISTRY & ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

44480 W Honeycutt Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 568-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1558701698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT RD",
            "address_2": "STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382903",
            "telephone_number": "520-568-9100",
            "fax_number": "520-568-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT RD",
            "address_2": "STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382903",
            "telephone_number": "520-568-9100",
            "fax_number": "520-568-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "520-568-9100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARICOPA FAMILY DENTISTRY & ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.