Individual provider Active NPI

Jeremy A Silverman, DMD

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1720341704
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008467 Issued in AZ
Practice address
936 W Chandler Blvd Ste 2
Chandler, AZ 85225-2531
Phone
(480) 608-5444
Fax
(480) 608-5445
NPI assigned
Jun 24, 2012
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008467 AZ Primary

Addresses

Primary practice location

936 W Chandler Blvd Ste 2
Chandler, AZ 85225-2531

Mailing address

936 W Chandler Blvd Ste 2
Chandler, AZ 85225-2531
Phone (480) 608-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123000127 AZ Order and Referring Only - DentistPractitioner - Dentist 1951683259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D008467AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Dental PLLC Current Accepting new patients

Locations

936 W Chandler Blvd
Ste 2
Chandler, AZ 85225
Phone (480) 855-1339

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1720341704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252531",
            "telephone_number": "480-608-5444",
            "fax_number": "480-608-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252531",
            "telephone_number": "480-608-5444",
            "fax_number": "480-608-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.