Organization Active NPI

David a. Patterson DDS LLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1871966242
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D03562 Issued in AZ
Legal business name
DAVID A. PATTERSON DDS LLC
Practice address
240 W Osborn Rd
Suite 225
Phoenix, AZ 85013-3919
Phone
(602) 277-2222
NPI assigned
Nov 7, 2015
Last updated
Nov 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Authorized official

Name
Dr. David Patterson, DDS
Title
Manager
Phone
(602) 909-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D03562 AZ Primary

Addresses

Primary practice location

240 W Osborn Rd
Suite 225
Phoenix, AZ 85013-3919

Mailing address

7218 W Pershing Ave
Peoria, AZ 85381-6019
Phone (602) 909-5454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1871966242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 W PERSHING AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816019",
            "telephone_number": "602-909-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W OSBORN RD",
            "address_2": "SUITE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133919",
            "telephone_number": "602-277-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. PATTERSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-909-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D03562",
            "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 Nov 7, 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.