Organization Active NPI

Quality Dental Care

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1689934515
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5603 Issued in AZ
Legal business name
QUALITY DENTAL CARE
Practice address
3970 E Riggs Rd
Chandler, AZ 85249-5412
Phone
(480) 214-4898
Fax
(480) 214-4902
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Shaun Patrick Gardner, DDS
Title
Member
Phone
(480) 214-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5603 AZ Primary

Addresses

Primary practice location

3970 E Riggs Rd
Chandler, AZ 85249-5412

Mailing address

3970 E Riggs Rd
Chandler, AZ 85249-5412
Phone (480) 214-4898

Other names 1

  • Shadow Ridge Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3970 E Riggs Rd
Chandler, AZ 85249
Phone (480) 214-4898

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1689934515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-214-4898",
            "fax_number": "480-214-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-214-4898",
            "fax_number": "480-214-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-214-4898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Ridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.