Dentistry at Maricopa, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY AT MARICOPA, LLC

Practice address

20046 N. John Wayne Pkwy
Ste 105
Maricopa, AZ 85139

Phone

(520) 316-6100

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Becky Onda

Title

Director of Credentialing

Phone

(480) 889-9457

Specialties & licenses 1

Addresses

Practitioners 2

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

• Daniel Jared Gibbons, DDS

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1609065556
  NPD (past)
• Scott Thomas Sutton, D.D.S

  • General Practice Dentistry
  • Maricopa, AZ
  • NPI 1639393176
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1578020988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E HOLMES AVE STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063314",
            "telephone_number": "480-889-9457",
            "fax_number": "602-726-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20046 N. JOHN WAYNE PKWY",
            "address_2": "STE 105",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "85139",
            "telephone_number": "520-316-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AT MARICOPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "ONDA",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "DIRECTOR OF  CREDENTIALING",
        "authorized_official_telephone_number": "480-889-9457"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DD LLC
• Jeffery Decker
• Lorraine M Deibler, P.T.
• Amanda Nichol Deiulio, B.S
• Delicate Dental LLC
• Denton Lakes LLC
• Desert Angels Behavioral Health Services, LLC
• Desert Angels Behavioral Health Services, LLC
• Desert Angels Behavioral Health Services, LLC
• Desert Eyecare Center

• General Practice Dentistry in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.