NPIMap

Organization Active NPI

North Groves Dental Group

Doing business as Gilbert Road Dental Care

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1730490228
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7286 Issued in AZ
Legal business name
NORTH GROVES DENTAL GROUP
Doing business as
Gilbert Road Dental Care
Practice address
2158 N Gilbert Rd
Ste 123
Mesa, AZ 85203
Phone
(480) 649-7200
NPI assigned
Jun 29, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Jason Kole Perkins, D.D.S.NPI 1487852810
Title
Owner
Phone
(480) 649-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7286 AZ Primary

Addresses

Primary practice location

2158 N Gilbert Rd
Ste 123
Mesa, AZ 85203

Mailing address

2158 N Gilbert Rd
Ste 123
Mesa, AZ 85203
Phone (480) 649-7200

Other names 1

  • GILBERT ROAD DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1730490228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD",
            "address_2": "STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "480-649-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD",
            "address_2": "STE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "480-649-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GROVES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "KOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-649-7200",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "7286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILBERT ROAD DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.