Active NPI
Daniel Ponce, DDS
- Pediatric Dentistry
- Buckeye, AZ
National Provider Identifier
1871707315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 009153
- Practice address
- 23374 W Yuma Rd
Suite 102
Buckeye, AZ 85326-3118 - Phone
- (623) 444-9999
- NPI assigned
- May 10, 2007
- Last updated
- Jul 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 54949 | CA | |
| Pediatric Dentistry | 1223P0221X | 009153 | AZ | Primary |
Addresses
Primary practice location
23374 W Yuma Rd
Suite 102
Buckeye, AZ 85326-3118
Mailing address
23374 W Yuma Rd
Suite 102
Buckeye, AZ 85326-3118
Phone (623) 444-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009153 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Dental Group PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Ivy 2 Dental PLLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Glendale, AZ
- NPI 1760918965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1871707315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23374 W YUMA RD",
"address_2": "SUITE 102",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263118",
"telephone_number": "623-444-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23374 W YUMA RD",
"address_2": "SUITE 102",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263118",
"telephone_number": "623-444-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "54949",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "009153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.