NPIMap

Organization Active NPI

Skyline Dental Group and Orthodontics, LLP

Doing business as Skyline Dental Group and Orthodontics

  • General Practice Dentistry
  • Queen Creek, AZ
National Provider Identifier
1811250301
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP
Doing business as
Skyline Dental Group and Orthodontics
Practice address
1714 West Hunt Hwy
Suite 100
Queen Creek, AZ 85243
Phone
(480) 882-3119
Fax
(480) 882-3129
NPI assigned
Jun 19, 2012
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Jonathan Richtsteig
Title
DMD/Owner
Phone
(480) 882-3119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1714 West Hunt Hwy
Suite 100
Queen Creek, AZ 85243

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Skyline Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1714 W Hunt Hwy
Ste 100
San Tan Valley, AZ 85143
Phone (480) 882-3119

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1811250301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WEST HUNT HWY",
            "address_2": "SUITE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85243",
            "telephone_number": "480-882-3119",
            "fax_number": "480-882-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "RICHTSTEIG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "480-882-3119"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 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.