Active NPI
Zachary Hentges, DMD
- Dentist
- Phoenix, AZ
National Provider Identifier
1821404328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009011
- Practice address
- 7440 W Thomas Rd
Phoenix, AZ 85033-5529 - Phone
- (480) 339-4800
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D009011 | AZ | Primary |
Addresses
Primary practice location
7440 W Thomas Rd
Phoenix, AZ 85033-5529
Mailing address
2455 E Broadway Rd Unit 67
Mesa, AZ 85204-1567
Phone (480) 313-4143
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161107002586 | AZ | Order and Referring Only - Other (Physician) | 0840579256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009011 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zach Hentges Enterprises | Current | Accepting new patients | |
| Desert Sky Dental Partners LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1114732930
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1427813732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1821404328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 E BROADWAY RD UNIT 67",
"city": "MESA",
"state": "AZ",
"postal_code": "852041567",
"telephone_number": "480-313-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335529",
"telephone_number": "480-339-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTGES",
"first_name": "ZACHARY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.