Desert Summit Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DO3749 Issued in AZ

Legal business name

DESERT SUMMIT DENTISTRY, PC

Practice address

21681 N 77TH Ave Ste 1420
Peoria, AZ 85382-2133

Phone

(623) 376-7233

Fax

(623) 376-7234

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Roy Gabriel, DDS

Title

Owner/Dentist

Phone

(623) 376-7233

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1831589910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE STE 1420",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822133",
            "telephone_number": "623-376-7233",
            "fax_number": "623-376-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 N 77TH AVE STE 1420",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822133",
            "telephone_number": "623-376-7233",
            "fax_number": "623-376-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SUMMIT DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "623-376-7233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "DO3749",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "DOO8946",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "HO2603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.