Active NPI
Dennis Joel Day Sr., D.D.S.
- General Practice Dentistry
- Elfrida, AZ
National Provider Identifier
1881608479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6047
- Practice address
- 10566 Hwy 191
Elfrida, AZ 85610 - Phone
- (520) 364-1429
- Fax
- (520) 364-4261
- NPI assigned
- Jul 28, 2006
- Last updated
- Aug 26, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6047 | CA | Primary |
Addresses
Primary practice location
10566 Hwy 191
Elfrida, AZ 85610
Mailing address
1205 F. Avenue
Douglas, AZ 85607
Phone (520) 364-1429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124526 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6047 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1881608479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 F. AVENUE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "85607",
"telephone_number": "520-364-1429",
"fax_number": "520-364-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10566 HWY 191",
"city": "ELFRIDA",
"state": "AZ",
"postal_code": "85610",
"telephone_number": "520-364-1429",
"fax_number": "520-364-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "DENNIS",
"middle_name": "JOEL",
"name_suffix": "Sr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D6047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124526",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elfrida, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.