Organization Active NPI

Tara R. Hodges, DDS, PLLC

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1790794998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5463 Issued in AZ
Legal business name
TARA R. HODGES, DDS, PLLC
Practice address
2470 W Ray Road, Suite 1
Chandler, AZ 85224
Phone
(480) 782-7416
Fax
(480) 782-7418
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tara R. Hodges, DDS, PLLC
Title
Member
Phone
(480) 782-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5463 AZ Primary

Addresses

Primary practice location

2470 W Ray Road, Suite 1
Chandler, AZ 85224

Mailing address

2470 W Ray Road, Suite 1
Chandler, AZ 85224
Phone (480) 782-7416

National Provider Directory

National Provider Directory

Locations

2470 W Ray Rd
Ste 1
Chandler, AZ 85224
Phone (480) 782-7416

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790794998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 W RAY ROAD, SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-782-7416",
            "fax_number": "480-782-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 W RAY ROAD, SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-782-7416",
            "fax_number": "480-782-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA R. HODGES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-782-7416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5463",
            "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 Aug 22, 2020; 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.