NPIMap

Organization Active NPI

James R. Chaffin Dba Johnson Ranch Dental

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1811064165
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6119 Issued in AZ
Legal business name
JAMES R. CHAFFIN DBA JOHNSON RANCH DENTAL
Practice address
530 E Hunt Hwy Ste 123
Queen Creek, AZ 85243-6583
Phone
(480) 987-4700
Fax
(480) 987-4701
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. James Chaffin
Title
Owner
Phone
(480) 987-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6119 AZ Primary

Addresses

Primary practice location

530 E Hunt Hwy Ste 123
Queen Creek, AZ 85243-6583

Mailing address

530 E Hunt Hwy Ste 123
Queen Creek, AZ 85243-6583
Phone (480) 987-4700

Other names 1

  • James R. Chaffin DBA Johnson Ranch Dental Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1811064165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E HUNT HWY STE 123",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852436583",
            "telephone_number": "480-987-4700",
            "fax_number": "480-987-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E HUNT HWY STE 123",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852436583",
            "telephone_number": "480-987-4700",
            "fax_number": "480-987-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. CHAFFIN DBA JOHNSON RANCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-987-4700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James R. Chaffin DBA Johnson Ranch Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.