East Valley Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D05410 Issued in AZ

Legal business name

EAST VALLEY PEDIATRIC DENTISTRY

Practice address

1355 S Higley Rd
Ste 117
Gilbert, AZ 85296-4799

Phone

(480) 632-7500

Fax

(480) 632-8900

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James Johnson, DMDNPI 1881622165

Title

Manager

Phone

(480) 632-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James C Johnson, DMD

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1881622165
  NPD (past) Authorized official
• Blake Schow, DDS

  • Dentist
  • Gilbert, AZ
  • NPI 1568564201
  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1578839148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "STE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-632-7500",
            "fax_number": "480-632-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "STE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964799",
            "telephone_number": "480-632-7500",
            "fax_number": "480-632-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-632-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D05410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Hospital, LLC (East Valley ER & Hospital)
• East Valley Medical LLC
• East Valley Mental Wellness PLLC
• East Valley Neurology P C
• East Valley Pain Center, P.C.
• East Valley Pediatrics, PLC
• East Valley Psychiatric Services
• East Valley PT, LLC.
• East Valley Rheumatology & Osteoporosis, PC (Debra Michel, MD or Santina Carminati Taddei, MD)
• East Valley Rnfa, PLLC (Richard Lease)

• Pediatric Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.