Individual provider Active NPI

Zachary Hentges, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1821404328
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009011 Issued in AZ
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

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107002586 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0840579256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D009011AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zach Hentges Enterprises Current Accepting new patients
Desert Sky Dental Partners LLC PastSince Feb 18, 2024 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.

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

Verify at the official NPI Registry.