Organization Active NPI

John Patterson DMD

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1619375862
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5936 Issued in AZ
Legal business name
JOHN PATTERSON DMD
Practice address
1150 N Country Club Dr
Suite 4
Mesa, AZ 85201-2537
Phone
(480) 844-5095
Fax
(480) 553-8072
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Dr. John Adams Patterson, DMD
Title
Dentist
Phone
(480) 844-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5936 AZ Primary

Addresses

Primary practice location

1150 N Country Club Dr
Suite 4
Mesa, AZ 85201-2537

Mailing address

1150 N Country Club Dr
Suite 4
Mesa, AZ 85201-2537
Phone (480) 844-5095

National Provider Directory

National Provider Directory

Locations

1150 N Country Club Dr
Ste 4
Mesa, AZ 85201
Phone (480) 844-5095

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1619375862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-844-5095",
            "fax_number": "480-553-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N COUNTRY CLUB DR",
            "address_2": "SUITE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012537",
            "telephone_number": "480-844-5095",
            "fax_number": "480-553-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PATTERSON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-844-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "5936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.