Organization Active NPI

Dental Partners LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Buckeye, AZ
National Provider Identifier
1861961096
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DENTAL PARTNERS LLC
Practice address
944 S Watson Rd Ste 106
Buckeye, AZ 85326-3437
Phone
(623) 439-5522
Fax
(623) 215-7859
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Mr. Rustin W Jones, DDS
Title
Owner
Phone
(602) 448-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

944 S Watson Rd Ste 106
Buckeye, AZ 85326-3437

Mailing address

944 S Watson Rd Ste 106
Buckeye, AZ 85326-3437
Phone (623) 439-5522

Other names 1

  • Elite Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

944 S Watson Rd
Ste 106
Buckeye, AZ 85326
Phone (623) 439-5522

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1861961096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 S WATSON RD STE 106",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263437",
            "telephone_number": "623-439-5522",
            "fax_number": "623-215-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 S WATSON RD STE 106",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263437",
            "telephone_number": "623-439-5522",
            "fax_number": "623-215-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-448-7890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.