NPIMap

Organization Active NPI

Chandler Implants & Periodontics, LLC

  • Dental Clinic/Center
  • Chandler, AZ
National Provider Identifier
1699013201
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D7899 Issued in AZ
Legal business name
CHANDLER IMPLANTS & PERIODONTICS, LLC
Practice address
800 W Chandler Blvd Ste 1
Chandler, AZ 85225-2508
Phone
(480) 899-6407
Fax
(480) 899-2644
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Jonathan Ryan Peterson, DMD, MSNPI 1093948614
Title
Owner
Phone
(480) 899-6407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D7899 AZ Primary

Addresses

Primary practice location

800 W Chandler Blvd Ste 1
Chandler, AZ 85225-2508

Mailing address

800 W Chandler Blvd Ste 1
Chandler, AZ 85225-2508
Phone (480) 899-6407

National Provider Directory

National Provider Directory

Locations

800 W Chandler Blvd
Ste 1
Chandler, AZ 85225
Phone (480) 899-6407

Practitioners & affiliated clinicians

Practitioners 2

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1699013201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252508",
            "telephone_number": "480-899-6407",
            "fax_number": "480-899-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252508",
            "telephone_number": "480-899-6407",
            "fax_number": "480-899-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER IMPLANTS & PERIODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-899-6407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D7899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2013; 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.