Dynamic Dentistry Az, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DYNAMIC DENTISTRY AZ, PLLC

Practice address

2450 S White Mountain Rd Ste 1
Show Low, AZ 85901-7384

Phone

(928) 537-6453

NPI assigned

Sep 17, 2019

Last updated

Dec 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krista FarrNPI 1285789073

Title

President

Phone

(928) 537-6453

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Dentistry AZ Other name

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.

• Krista M Farr, DDS

  • General Practice Dentistry
  • Show Low, AZ
  • NPI 1285789073
  NPD Authorized official
• Kuljeet J Bains

  • General Practice Dentistry
  • Show Low, AZ
  • NPI 1013754720
  NPD

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1629628029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017384",
            "telephone_number": "480-313-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 1",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017384",
            "telephone_number": "928-537-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTISTRY AZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-537-6453"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Dentistry AZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lezlie Duckett, NP-PSYCHIATRY
• Jessica Renee Dugger, PTA
• Matthew Duke, AGACNP-BC
• Gavrilo Durica, PHARM.D.
• Sterling L Durrett, SLP
• El Rio Santa Cruz Neighborhood Health Center, Inc. (Elk Ridge Show Low)
• Curtis Ellsworth
• Ty Ellsworth, DMD
• Endo Associates
• Jeannie D Evans, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.