NPIMap

Organization Active NPI

Maricopa Smiles Dentistry and Orthodontics, LLP

  • Dentist
  • Irvine, CA
National Provider Identifier
1619212651
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARICOPA SMILES DENTISTRY AND ORTHODONTICS, LLP
Doing business as
Maricopa Smiles Dentistry and Orthodontics
Practice address
2860 Michelle FL 2
Irvine, CA 92606-1008
Phone
(714) 368-2077
Fax
(714) 508-6400
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Paul Gebhart, DDS
Title
Owner Doctor
Phone
(520) 568-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2860 Michelle FL 2
Irvine, CA 92606-1008

Mailing address

41620 W Maricopa Casa Grande Hwy Ste 110
Maricopa, AZ 85138-3217
Phone (520) 568-2800

Other names 1

  • Maricopa Smiles Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

41620 W Maricopa Casa Grande Hwy
Ste 110
Maricopa, AZ 85138
Phone (520) 568-2800

Practitioners & affiliated clinicians

Practitioners 4

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": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1619212651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41620 W MARICOPA CASA GRANDE HWY STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383217",
            "telephone_number": "520-568-2800",
            "fax_number": "520-568-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-508-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA SMILES DENTISTRY AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "520-568-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Smiles Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

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