Active NPI
Quality Dental Care
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1689934515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5603
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.