Organization Active NPI

Serenity Dental

  • Dentist
  • Gilbert, AZ
National Provider Identifier
1619160199
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
BB9405689 Issued in AZ
Legal business name
SERENITY DENTAL
Practice address
3341 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8501
Phone
(480) 305-3200
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Jayganesh Manoj Bhatt, D.D.SNPI 1881887362
Title
Manager
Phone
(480) 305-3200

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
Dentist 122300000X BB9405689 AZ Primary

Addresses

Primary practice location

3341 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8501

Mailing address

3341 E Queen Creek Rd
Gilbert, AZ 85297-8501
Phone (480) 305-3200

National Provider Directory

National Provider Directory

Locations

3341 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 457-8877

3341 E Queen Creek Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 305-3200

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1619160199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978501",
            "telephone_number": "480-305-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978501",
            "telephone_number": "480-305-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "JAYGANESH",
        "authorized_official_middle_name": "MANOJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-305-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "BB9405689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.